NPI: 1871724716 · TARRYTOWN, NY 10591 · General Practice Dentistry · NPI assigned 07/27/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 781 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 30 | 30 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 182 | 182 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 179 | 179 | $0.00 |
| D0272 | Bitewings - two radiographic images | 42 | 42 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 230 | 229 | $0.00 |
| D1120 | Prophylaxis - child | 32 | 32 | $0.00 |
| D1110 | Prophylaxis - adult | 86 | 86 | $0.00 |