CARLA WEISFELD DDS, P.C.
NPI: 1588986699
· PORT CHESTER, NY 10573
· Dentist
· NPI assigned 02/17/2010
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | WEISFELD, CARLA (OWNER/DENTIST) |
| NPI Enumeration Date | 02/17/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,329 |
$22K |
| 2019 |
1,718 |
$26K |
| 2020 |
1,444 |
$26K |
| 2021 |
1,845 |
$36K |
| 2022 |
1,680 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,531 |
1,531 |
$55K |
| D0120 |
Periodic oral evaluation - established patient |
1,857 |
1,857 |
$37K |
| D0220 |
Intraoral - periapical first radiographic image |
1,536 |
1,530 |
$15K |
| D0272 |
Bitewings - two radiographic images |
1,157 |
1,157 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
297 |
297 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,383 |
1,383 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
228 |
228 |
$2K |
| D1120 |
Prophylaxis - child |
27 |
27 |
$831.89 |