NPI: 1568504850 · SMITHTOWN, NY 11787 · General Practice Dentistry · NPI assigned 02/13/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,587 | $39K |
| 2019 | 1,933 | $44K |
| 2020 | 1,859 | $43K |
| 2021 | 1,961 | $48K |
| 2022 | 1,535 | $42K |
| 2023 | 1,211 | $31K |
| 2024 | 206 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 2,737 | 2,727 | $113K |
| D0120 | Periodic oral evaluation - established patient | 3,070 | 3,058 | $69K |
| D0274 | Bitewings - four radiographic images | 1,987 | 1,986 | $45K |
| D0220 | Intraoral - periapical first radiographic image | 1,260 | 1,245 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 978 | 968 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 157 | 156 | $2K |
| D1120 | Prophylaxis - child | 37 | 37 | $1K |
| D0140 | Limited oral evaluation - problem focused | 66 | 66 | $770.81 |