JACK M. DORKHOM, DMD, PLLC
NPI: 1659721025
· PITTSFORD, NY 14534
· General Practice Dentistry
· NPI assigned 06/16/2016
Provider Details
| Authorized Official | DORKHOM, JACK (MEMBER/OWNER) |
| NPI Enumeration Date | 06/16/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$0.00 |
| 2020 |
168 |
$4K |
| 2021 |
90 |
$5K |
| 2022 |
83 |
$4K |
| 2023 |
90 |
$5K |
| 2024 |
61 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
291 |
290 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
229 |
229 |
$5K |