NPI: 1619243623 · WARRINGTON, PA 18976 · Preferred Provider Organization · NPI assigned 03/25/2012
| Authorized Official | LEE, ELLIOT (PRESIDENT) |
| NPI Enumeration Date | 03/25/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 442 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 179 | 178 | $6K |
| D0120 | Periodic oral evaluation - established patient | 142 | 142 | $3K |
| D0274 | Bitewings - four radiographic images | 27 | 27 | $725.73 |
| D0220 | Intraoral - periapical first radiographic image | 52 | 48 | $403.89 |
| D0230 | Intraoral - periapical each additional radiographic image | 42 | 41 | $321.69 |