POLISE, ERIC
NPI: 1780707869
· GENEVA, NY 14456
· Dentist
· NPI assigned 04/06/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
61 |
$2K |
| 2019 |
80 |
$2K |
| 2020 |
142 |
$5K |
| 2021 |
143 |
$5K |
| 2022 |
57 |
$2K |
| 2023 |
95 |
$3K |
| 2024 |
82 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
449 |
448 |
$12K |
| D1110 |
Prophylaxis - adult |
187 |
186 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$169.70 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$169.10 |