NPI: 1811275449 · BRONX, NY 10463 · Dentist · NPI assigned 08/01/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 590 | $9K |
| 2021 | 38 | $832.00 |
| 2022 | 103 | $2K |
| 2024 | 266 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 176 | 176 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 196 | 196 | $4K |
| D0120 | Periodic oral evaluation - established patient | 149 | 149 | $3K |
| D0251 | 107 | 107 | $3K | |
| D0220 | Intraoral - periapical first radiographic image | 130 | 129 | $1K |
| D0272 | Bitewings - two radiographic images | 68 | 68 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 51 | 51 | $995.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 120 | 119 | $958.00 |