NPI: 1629469499 · MEDFORD, NY 11763 · Dental Clinic/Center · NPI assigned 02/13/2015
| Authorized Official | GOLDSTEIN, SCOTT (CEO) |
| NPI Enumeration Date | 02/13/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,132 | $48K |
| 2019 | 3,006 | $64K |
| 2020 | 4,232 | $102K |
| 2021 | 4,950 | $127K |
| 2022 | 310 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,522 | 3,522 | $106K | |
| D0120 | 3,962 | 3,961 | $83K | |
| D1206 | 1,785 | 1,785 | $40K | |
| D1110 | 822 | 821 | $34K | |
| D1208 | 2,590 | 2,588 | $31K | |
| D1351 | 246 | 121 | $19K | |
| D2930 | 136 | 125 | $13K | |
| D0272 | 730 | 730 | $9K | |
| D0150 | 280 | 280 | $5K | |
| D7140 | 90 | 79 | $4K | |
| D0274 | 147 | 147 | $3K | |
| D0140 | 83 | 82 | $874.55 | |
| D3220 | 13 | 13 | $774.56 | |
| D0330 | 27 | 27 | $729.12 | |
| D0220 | 37 | 37 | $385.17 | |
| D9230 | 160 | 150 | $0.00 |