COMPLETE DENTAL CARE, PC
NPI: 1750657557
· PEEKSKILL, NY 10566
· Dental Clinic/Center
· NPI assigned 03/26/2012
Provider Details
| Authorized Official | ILAN, JOSHUA (PRESIDENT) |
| NPI Enumeration Date | 03/26/2012 |
Related Entities
Other providers sharing the same authorized official: ILAN, JOSHUA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$478.40 |
| 2019 |
12 |
$308.02 |
| 2020 |
76 |
$2K |
| 2021 |
446 |
$12K |
| 2022 |
460 |
$13K |
| 2023 |
291 |
$9K |
| 2024 |
207 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
669 |
667 |
$25K |
| D0210 |
Intraoral - complete series of radiographic images |
316 |
315 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
230 |
230 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
134 |
133 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
143 |
139 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$158.50 |