NPI: 1558439307 · ROCKAWAY PARK, NY 11694 · General Practice Dentistry · NPI assigned 12/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 119 | $2K |
| 2020 | 178 | $6K |
| 2021 | 578 | $16K |
| 2022 | 25 | $565.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 306 | 305 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 193 | 191 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 134 | 134 | $3K |
| D0120 | Periodic oral evaluation - established patient | 83 | 83 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 132 | 87 | $1K |
| D0274 | Bitewings - four radiographic images | 52 | 52 | $1K |