NPI: 1588207435 · ROCKY MOUNT, NC 27801 · General Practice Dentistry · NPI assigned 10/23/2019
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/23/2019 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 22,447 | $929K |
| 2021 | 30,434 | $1.28M |
| 2022 | 24,336 | $993K |
| 2023 | 23,753 | $994K |
| 2024 | 23,538 | $994K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14,368 | 6,466 | $1.53M |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5,335 | 3,173 | $686K |
| D0120 | Periodic oral evaluation - established patient | 13,903 | 13,504 | $352K |
| D1110 | Prophylaxis - adult | 7,737 | 7,503 | $287K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5,349 | 4,932 | $240K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2,309 | 1,092 | $233K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,716 | 1,637 | $218K |
| D1120 | Prophylaxis - child | 7,503 | 7,266 | $207K |
| D0330 | Panoramic radiographic image | 3,874 | 3,725 | $199K |
| D0220 | Intraoral - periapical first radiographic image | 13,270 | 12,480 | $192K |
| D0274 | Bitewings - four radiographic images | 5,936 | 5,708 | $180K |
| D0230 | Intraoral - periapical each additional radiographic image | 17,157 | 10,634 | $176K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,656 | 3,478 | $155K |
| D1206 | Topical application of fluoride varnish | 8,862 | 8,672 | $145K |
| D0140 | Limited oral evaluation - problem focused | 2,547 | 2,413 | $87K |
| D7140 | Extraction, erupted tooth or exposed root | 1,220 | 677 | $79K |
| D0272 | Bitewings - two radiographic images | 3,875 | 3,742 | $71K |
| D1208 | Topical application of fluoride, excluding varnish | 2,365 | 2,228 | $39K |
| D4355 | 568 | 544 | $38K | |
| D2394 | 158 | 122 | $26K | |
| D2332 | 254 | 156 | $24K | |
| D2331 | 167 | 97 | $13K | |
| D7250 | 37 | 16 | $4K | |
| D4341 | 27 | 13 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 30 | 24 | $2K |
| D7311 | 22 | 15 | $2K | |
| D4346 | 37 | 37 | $1K | |
| D2330 | 17 | 12 | $1K | |
| D1351 | Sealant - per tooth | 49 | 13 | $986.37 |
| D1330 | 809 | 748 | $0.00 | |
| D1999 | 351 | 166 | $0.00 |