NPI: 1588858344 · CENTEREACH, NY 11720 · General Practice Dentistry · NPI assigned 09/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 520 | $21K |
| 2019 | 390 | $15K |
| 2020 | 24 | $981.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 354 | 354 | $20K |
| D0120 | Periodic oral evaluation - established patient | 496 | 496 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | 16 | 16 | $990.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13 | 13 | $878.90 |
| D1120 | Prophylaxis - child | 13 | 13 | $516.00 |
| D0220 | Intraoral - periapical first radiographic image | 29 | 29 | $381.64 |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $140.00 |