QUEENSVILLAGEDENTALCARE,P.C.
NPI: 1679958052
· QUEENS VILLAGE, NY 11428
· Health Maintenance Organization
· NPI assigned 07/27/2015
Provider Details
| Authorized Official | MAHASE, TERENCE (PRESIDENT) |
| NPI Enumeration Date | 07/27/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$427.60 |
| 2019 |
24 |
$427.00 |
| 2020 |
12 |
$225.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
38 |
38 |
$683.10 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$219.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$122.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$55.80 |