NPI: 1821080540 · WHITESTONE, NY 11357 · General Practice Dentistry · NPI assigned 08/18/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 356 | $4K |
| 2019 | 334 | $5K |
| 2020 | 163 | $2K |
| 2021 | 85 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 259 | 259 | $6K |
| D0120 | Periodic oral evaluation - established patient | 360 | 360 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 291 | 291 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 15 | 12 | $389.48 |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $74.97 |