NPI: 1841578523 · CORONA, NY 11368 · General Practice Dentistry · NPI assigned 07/28/2011
| Authorized Official | COSENTINO, SAM (DENTIST) |
| NPI Enumeration Date | 07/28/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 926 | $16K |
| 2019 | 1,247 | $21K |
| 2020 | 608 | $13K |
| 2021 | 178 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,035 | 1,035 | $20K |
| D1110 | Prophylaxis - adult | 588 | 588 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 472 | 470 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 388 | 388 | $4K |
| D0272 | Bitewings - two radiographic images | 304 | 304 | $3K |
| D1120 | Prophylaxis - child | 69 | 69 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 103 | 103 | $1K |