NPI: 1730364241 · CANONSBURG, PA 15317 · Periodontist · NPI assigned 01/02/2008
| Authorized Official | GOLDSMITH, JAMES (DENTIST) |
| NPI Enumeration Date | 01/02/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 136 | $2K |
| 2021 | 167 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 120 | 120 | $2K |
| D1206 | Topical application of fluoride varnish | 86 | 86 | $1K |
| D1120 | Prophylaxis - child | 31 | 31 | $900.00 |
| D0272 | Bitewings - two radiographic images | 54 | 54 | $736.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $360.00 |