NPI: 1760544001 · OSSINING, NY 10562 · Dentist · NPI assigned 12/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 736 | $0.00 |
| 2019 | 575 | $0.00 |
| 2020 | 623 | $35.00 |
| 2021 | 304 | $32.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 524 | 522 | $29.00 |
| D0120 | Periodic oral evaluation - established patient | 558 | 558 | $24.00 |
| D0274 | Bitewings - four radiographic images | 524 | 524 | $14.00 |
| D1330 | 73 | 73 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 138 | 138 | $0.00 |
| D1310 | 42 | 42 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 96 | 96 | $0.00 |
| D1120 | Prophylaxis - child | 114 | 114 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 85 | 85 | $0.00 |
| D0330 | Panoramic radiographic image | 65 | 65 | $0.00 |
| D1110 | Prophylaxis - adult | 19 | 19 | $0.00 |