NPI: 1568982783 · GLENS FALLS, NY 12801 · Dentist · NPI assigned 06/20/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 114 | $4K |
| 2020 | 736 | $24K |
| 2021 | 336 | $11K |
| 2022 | 24 | $768.75 |
| 2023 | 49 | $1K |
| 2024 | 39 | $932.61 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 381 | 381 | $18K |
| D0120 | Periodic oral evaluation - established patient | 492 | 492 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 248 | 248 | $4K |
| D1206 | Topical application of fluoride varnish | 113 | 113 | $3K |
| D0272 | Bitewings - two radiographic images | 52 | 52 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $615.00 |