NPI: 1629250675 · NESCONSET, NY 11767 · Pediatric Dentist · NPI assigned 12/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 80 | $2K |
| 2020 | 312 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 125 | 124 | $5K |
| D0120 | Periodic oral evaluation - established patient | 124 | 124 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 97 | 97 | $1K |
| D0272 | Bitewings - two radiographic images | 34 | 34 | $487.46 |
| D1206 | Topical application of fluoride varnish | 12 | 12 | $307.08 |