NPI: 1710313697 · LIVERPOOL, NY 13090 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 69 | $2K |
| 2020 | 464 | $16K |
| 2021 | 1,884 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 228 | 149 | $24K | |
| D1110 | 427 | 425 | $23K | |
| D0120 | 487 | 487 | $14K | |
| D2391 | 126 | 86 | $11K | |
| D0274 | 167 | 166 | $6K | |
| D1206 | 308 | 307 | $5K | |
| D2393 | 31 | 26 | $4K | |
| D0220 | 228 | 225 | $3K | |
| D0330 | 33 | 33 | $2K | |
| D0150 | 30 | 30 | $1K | |
| D1120 | 27 | 27 | $1K | |
| D1330 | 234 | 234 | $975.00 | |
| D0140 | 38 | 38 | $580.00 | |
| D0603 | 40 | 40 | $240.00 | |
| D1999 | 13 | 13 | $0.00 |