NPI: 1841278421 · WOODHAVEN, NY 11421 · Dentist · NPI assigned 01/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $509.40 |
| 2019 | 60 | $1K |
| 2020 | 135 | $3K |
| 2021 | 236 | $5K |
| 2022 | 114 | $3K |
| 2023 | 206 | $4K |
| 2024 | 147 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 525 | 524 | $10K |
| D1110 | Prophylaxis - adult | 202 | 202 | $7K |
| D0274 | Bitewings - four radiographic images | 70 | 70 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 60 | 60 | $581.68 |
| D0230 | Intraoral - periapical each additional radiographic image | 69 | 69 | $488.35 |