NPI: 1629470919 · ALBANY, NY 12208 · Dental Clinic/Center · NPI assigned 09/18/2014
Authorized official KNOWLES, COURTNEY controls 20+ related entities in our dataset. Read more
| Authorized Official | KNOWLES, COURTNEY (CREDENTIALING MANAGER) |
| Parent Organization | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY |
| NPI Enumeration Date | 09/18/2014 |
Other providers sharing the same authorized official: KNOWLES, COURTNEY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,533 | $132K |
| 2019 | 4,144 | $189K |
| 2020 | 3,257 | $120K |
| 2021 | 3,694 | $159K |
| 2022 | 4,039 | $202K |
| 2023 | 1,309 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 3,375 | 3,371 | $181K |
| D0120 | Periodic oral evaluation - established patient | 3,248 | 3,247 | $117K |
| D7140 | Extraction, erupted tooth or exposed root | 1,461 | 907 | $105K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 821 | 695 | $76K |
| D0140 | Limited oral evaluation - problem focused | 2,648 | 2,604 | $69K |
| D0210 | Intraoral - complete series of radiographic images | 1,094 | 1,088 | $58K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,508 | 1,503 | $54K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 538 | 451 | $47K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 369 | 259 | $44K |
| D0274 | Bitewings - four radiographic images | 1,472 | 1,468 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 1,957 | 1,938 | $35K |
| D1120 | Prophylaxis - child | 384 | 383 | $18K |
| D0330 | Panoramic radiographic image | 235 | 234 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 498 | 493 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 160 | 160 | $4K |
| D1351 | Sealant - per tooth | 15 | 15 | $2K |
| D0270 | 78 | 75 | $2K | |
| D9110 | 12 | 12 | $624.00 | |
| D0240 | 71 | 70 | $62.00 | |
| D2999 | 20 | 16 | $0.00 | |
| D9986 | 12 | 12 | $0.00 |