PREFERRED DENTAL OF NIAGARA
NPI: 1659336113
· NIAGARA FALLS, NY 14304
· General Practice Dentistry
· NPI assigned 04/19/2006
$330K
Total Medicaid Paid
Provider Details
| Authorized Official | BONNEVIE, KARI (OFFICE MANAGER) |
| NPI Enumeration Date | 04/19/2006 |
Related Entities
Other providers sharing the same authorized official: BONNEVIE, KARI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
696 |
$28K |
| 2019 |
891 |
$33K |
| 2020 |
1,269 |
$44K |
| 2021 |
1,627 |
$59K |
| 2022 |
1,656 |
$62K |
| 2023 |
1,698 |
$67K |
| 2024 |
1,043 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
3,150 |
3,150 |
$171K |
| D0120 |
Periodic oral evaluation - established patient |
3,559 |
3,559 |
$97K |
| D0274 |
Bitewings - four radiographic images |
1,022 |
1,022 |
$28K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
122 |
93 |
$12K |
| D1120 |
Prophylaxis - child |
265 |
265 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
683 |
683 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$690.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$451.20 |
| D1999 |
|
41 |
38 |
$0.00 |