NPI: 1659360444 · HAVERSTRAW, NY 10927 · General Practice Dentistry · NPI assigned 10/14/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 348 | $12K |
| 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 |