DAS, DIPTI
NPI: 1659360444
· HAVERSTRAW, NY 10927
· General Practice Dentistry
· NPI assigned 10/14/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
348 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2140 |
|
60 |
28 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
113 |
113 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
38 |
25 |
$3K |
| D2330 |
|
16 |
12 |
$993.55 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$674.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$511.30 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
32 |
$429.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
32 |
32 |
$390.70 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$385.40 |