DAVY, DMITRY
NPI: 1780789552
· REGO PARK, NY 11374
· Dentist
· NPI assigned 09/14/2006
$122K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,817 |
$47K |
| 2019 |
1,050 |
$29K |
| 2020 |
235 |
$9K |
| 2021 |
217 |
$8K |
| 2022 |
208 |
$7K |
| 2023 |
346 |
$12K |
| 2024 |
346 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,267 |
1,267 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
1,775 |
1,775 |
$44K |
| D0274 |
Bitewings - four radiographic images |
235 |
235 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
444 |
444 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
344 |
344 |
$4K |
| D0330 |
Panoramic radiographic image |
112 |
112 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$454.40 |