HANSON PLACE DENTAL ASSOCIATES LLP
NPI: 1811059728
· BROOKLYN, NY 11201
· Dentist
· NPI assigned 12/15/2006
$276K
Total Medicaid Paid
Provider Details
| Authorized Official | GIDDON, RICHARD (PARTNER) |
| NPI Enumeration Date | 12/15/2006 |
Related Entities
Other providers sharing the same authorized official: GIDDON, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,815 |
$112K |
| 2019 |
4,408 |
$154K |
| 2022 |
383 |
$8K |
| 2023 |
87 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
1,463 |
1,460 |
$74K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
160 |
143 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,224 |
1,222 |
$25K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
317 |
285 |
$24K |
| D1110 |
Prophylaxis - adult |
622 |
622 |
$24K |
| D0220 |
Intraoral - periapical first radiographic image |
2,050 |
2,035 |
$21K |
| D0210 |
Intraoral - complete series of radiographic images |
654 |
649 |
$18K |
| D0274 |
Bitewings - four radiographic images |
1,289 |
1,288 |
$18K |
| D3320 |
|
97 |
87 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
785 |
782 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
32 |
$624.00 |