BALCERAK, THOMAS
NPI: 1710071790
· KENMORE, NY 14217
· General Practice Dentistry
· NPI assigned 10/03/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
295 |
$11K |
| 2019 |
658 |
$24K |
| 2020 |
321 |
$12K |
| 2021 |
176 |
$7K |
| 2022 |
12 |
$450.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
604 |
603 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
464 |
462 |
$12K |
| D0274 |
Bitewings - four radiographic images |
249 |
249 |
$6K |
| D0330 |
Panoramic radiographic image |
80 |
80 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$172.90 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$125.45 |