NPI: 1679237762 · RICHMOND, VA 23225 · General Practice Dentistry · NPI assigned 10/26/2021
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 10/26/2021 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 682 | $21K |
| 2023 | 3,833 | $99K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 769 | 758 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 622 | 616 | $19K |
| D7140 | Extraction, erupted tooth or exposed root | 155 | 90 | $13K |
| D0240 | 796 | 406 | $11K | |
| D1206 | Topical application of fluoride varnish | 619 | 609 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 88 | 56 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 299 | 245 | $9K |
| D0272 | Bitewings - two radiographic images | 301 | 297 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 32 | 14 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 142 | 142 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 42 | 25 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 224 | 215 | $2K |
| D0140 | Limited oral evaluation - problem focused | 71 | 68 | $2K |
| D0120 | Periodic oral evaluation - established patient | 149 | 144 | $1K |
| D1351 | Sealant - per tooth | 33 | 12 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 121 | 79 | $711.97 |
| D3120 | 23 | 15 | $454.67 | |
| D0330 | Panoramic radiographic image | 29 | 29 | $0.00 |