NPI: 1760526321 · CHEEKTOWAGA, NY 14225 · General Practice Dentistry · NPI assigned 02/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 814 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 256 | 256 | $14K |
| D0120 | Periodic oral evaluation - established patient | 370 | 370 | $10K |
| D0330 | Panoramic radiographic image | 134 | 134 | $5K |
| D0272 | Bitewings - two radiographic images | 28 | 28 | $458.00 |
| D0220 | Intraoral - periapical first radiographic image | 26 | 26 | $302.00 |