NPI: 1629089826 · WILLIAMSVILLE, NY 14221 · General Practice Dentistry · NPI assigned 08/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 658 | $21K |
| 2021 | 431 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 268 | 268 | $11K |
| D0120 | Periodic oral evaluation - established patient | 263 | 263 | $7K |
| D0274 | Bitewings - four radiographic images | 161 | 161 | $6K |
| D1110 | Prophylaxis - adult | 95 | 95 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 231 | 230 | $3K |
| D0330 | Panoramic radiographic image | 26 | 26 | $1K |
| D1206 | Topical application of fluoride varnish | 29 | 29 | $826.50 |
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $456.00 |