NPI: 1780983668 · YONKERS, NY 10703 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/18/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,905 | $298K |
| 2019 | 1,433 | $200K |
| 2020 | 1,019 | $94K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 1,640 | 1,638 | $469K |
| D0340 | 543 | 543 | $26K | |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 45 | 45 | $22K |
| D0470 | 674 | 674 | $22K | |
| D0330 | Panoramic radiographic image | 709 | 709 | $21K |
| D8660 | 532 | 532 | $15K | |
| D0350 | 944 | 943 | $11K | |
| D8680 | 13 | 13 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 126 | 126 | $2K |
| D0140 | Limited oral evaluation - problem focused | 65 | 65 | $763.85 |
| D9995 | 66 | 66 | $0.00 |