S T DENTAL SERVICE PC
NPI: 1679534119
· FAR ROCKAWAY, NY 11691
· Dentist
· NPI assigned 03/31/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$278.40 |
| 2019 |
63 |
$1K |
| 2020 |
12 |
$239.70 |
| 2021 |
25 |
$423.30 |
| 2022 |
108 |
$3K |
| 2023 |
149 |
$4K |
| 2024 |
270 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
200 |
200 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
367 |
367 |
$7K |
| D0274 |
Bitewings - four radiographic images |
46 |
46 |
$939.32 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$123.25 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$118.32 |