NPI: 1881165876 · FAYETTEVILLE, NC 28304 · General Practice Dentistry · NPI assigned 12/17/2018
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (OWNER) |
| NPI Enumeration Date | 12/17/2018 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 39 | $722.70 |
| 2021 | 647 | $13K |
| 2022 | 1,072 | $22K |
| 2023 | 2,158 | $45K |
| 2024 | 2,981 | $79K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 601 | 509 | $22K |
| D0330 | Panoramic radiographic image | 570 | 512 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,697 | 890 | $19K |
| D0220 | Intraoral - periapical first radiographic image | 1,375 | 1,257 | $19K |
| D0120 | Periodic oral evaluation - established patient | 598 | 576 | $15K |
| D0274 | Bitewings - four radiographic images | 532 | 482 | $14K |
| D1110 | Prophylaxis - adult | 360 | 349 | $14K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 122 | 76 | $13K |
| D1206 | Topical application of fluoride varnish | 623 | 555 | $9K |
| D1120 | Prophylaxis - child | 276 | 264 | $7K |
| D0140 | Limited oral evaluation - problem focused | 117 | 106 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 12 | $207.48 |