WEBSTER PEDIATRIC DENTISTRY, PLLC
NPI: 1649553637
· WEBSTER, NY 14580
· Dentist
· NPI assigned 09/26/2011
Provider Details
| Authorized Official | SKOLNICK, JAY (OWNER) |
| NPI Enumeration Date | 09/26/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,356 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
295 |
295 |
$12K |
| D1206 |
Topical application of fluoride varnish |
390 |
390 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
396 |
396 |
$11K |
| D1110 |
Prophylaxis - adult |
77 |
77 |
$4K |
| D1351 |
Sealant - per tooth |
53 |
13 |
$2K |
| D1354 |
|
51 |
14 |
$2K |
| D0272 |
Bitewings - two radiographic images |
55 |
55 |
$1K |
| D0330 |
Panoramic radiographic image |
18 |
18 |
$926.25 |
| D0274 |
Bitewings - four radiographic images |
21 |
21 |
$753.35 |