NPI: 1801318944 · GOLDSBORO, NC 27534 · General Practice Dentistry · NPI assigned 07/11/2017
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (CEO) |
| NPI Enumeration Date | 07/11/2017 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,099 | $18K |
| 2022 | 1,618 | $42K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 477 | 377 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 259 | 196 | $10K |
| D0150 | Comprehensive oral evaluation - new or established patient | 250 | 173 | $8K |
| D1206 | Topical application of fluoride varnish | 613 | 467 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 50 | 27 | $7K |
| D0120 | Periodic oral evaluation - established patient | 131 | 130 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 322 | 221 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 31 | 26 | $3K |
| D0272 | Bitewings - two radiographic images | 239 | 168 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 287 | 158 | $2K |
| D0330 | Panoramic radiographic image | 58 | 37 | $2K |