NPI: 1881703700 · OCEANSIDE, NY 11572 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 990 | $130K |
| 2019 | 1,312 | $123K |
| 2020 | 1,747 | $78K |
| 2021 | 1,052 | $26K |
| 2022 | 76 | $22K |
| 2023 | 25 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0486 | Oral device/appliance cusfab | 126 | 123 | $200K |
| 99213 | 1,762 | 1,657 | $96K | |
| D1110 | 761 | 759 | $34K | |
| 21110 | 55 | 55 | $32K | |
| D0120 | 450 | 449 | $10K | |
| D0210 | 270 | 270 | $6K | |
| D0220 | 502 | 494 | $5K | |
| D0230 | 287 | 286 | $4K | |
| D0150 | 95 | 95 | $2K | |
| D1320 | 272 | 272 | $2K | |
| 99212 | 46 | 45 | $2K | |
| 99203 | 12 | 12 | $1K | |
| 99214 | 14 | 14 | $1K | |
| D2392 | 16 | 13 | $916.44 | |
| D0140 | 24 | 24 | $227.85 | |
| D9910 | 179 | 179 | $0.00 | |
| D1999 | 177 | 177 | $0.00 | |
| D1330 | 154 | 154 | $0.00 |