NPI: 1689676652 · NEW MILFORD, CT 06776 · General Practice Dentistry · NPI assigned 08/10/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 802 | $20K |
| 2019 | 834 | $19K |
| 2020 | 13 | $315.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 422 | 410 | $11K |
| D1120 | Prophylaxis - child | 177 | 175 | $8K |
| D0274 | Bitewings - four radiographic images | 195 | 191 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 391 | 198 | $5K |
| D1206 | Topical application of fluoride varnish | 147 | 146 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 279 | 272 | $4K |
| D1110 | Prophylaxis - adult | 38 | 37 | $1K |