TZUR, ILAN
NPI: 1639360837
· MONROE, NY 10950
· General Practice Dentistry
· NPI assigned 08/05/2007
$679K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$311.15 |
| 2019 |
37 |
$903.81 |
| 2020 |
279 |
$10K |
| 2021 |
140 |
$4K |
| 2022 |
153 |
$4K |
| 2023 |
854 |
$205K |
| 2024 |
1,685 |
$454K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2750 |
|
1,099 |
278 |
$619K |
| D0120 |
Periodic oral evaluation - established patient |
894 |
893 |
$24K |
| D0274 |
Bitewings - four radiographic images |
574 |
573 |
$16K |
| D1110 |
Prophylaxis - adult |
245 |
245 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
218 |
217 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
13 |
13 |
$2K |
| D1120 |
Prophylaxis - child |
38 |
38 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
66 |
66 |
$750.12 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$196.00 |