NPI: 1558541557 · POUGHKEEPSIE, NY 12601 · General Practice Dentistry · NPI assigned 11/07/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 91 | $2K |
| 2020 | 81 | $2K |
| 2021 | 91 | $2K |
| 2022 | 115 | $3K |
| 2023 | 306 | $7K |
| 2024 | 117 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 336 | 330 | $7K |
| D0120 | Periodic oral evaluation - established patient | 161 | 161 | $4K |
| D0330 | Panoramic radiographic image | 56 | 56 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 83 | 83 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 134 | 134 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 18 | 13 | $920.48 |
| D0272 | Bitewings - two radiographic images | 13 | 13 | $221.00 |