NPI: 1568127132 · WILMINGTON, NC 28412 · General Practice Dentistry · NPI assigned 11/08/2021
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNEER) |
| NPI Enumeration Date | 11/08/2021 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 521 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 87 | 83 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 18 | 13 | $2K |
| D0120 | Periodic oral evaluation - established patient | 84 | 79 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 93 | 88 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 109 | 63 | $1K |
| D0274 | Bitewings - four radiographic images | 41 | 40 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 28 | $1K |
| D1206 | Topical application of fluoride varnish | 46 | 42 | $671.20 |
| D0140 | Limited oral evaluation - problem focused | 15 | 14 | $543.45 |