NPI: 1609852649 · NEW CITY, NY 10956 · Dentist · NPI assigned 12/21/2005
| Authorized Official | MA, KEITH (PRESIDENT/ DENTIST) |
| NPI Enumeration Date | 12/21/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $881.65 |
| 2019 | 92 | $3K |
| 2020 | 250 | $6K |
| 2021 | 347 | $10K |
| 2022 | 423 | $13K |
| 2023 | 348 | $11K |
| 2024 | 222 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 853 | 853 | $33K |
| D0120 | Periodic oral evaluation - established patient | 771 | 770 | $16K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14 | 12 | $875.46 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $339.97 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $274.78 |
| D1999 | 45 | 43 | $0.00 |