NPI: 1902816226 · REVERE, MA 02151 · Dentist · NPI assigned 08/09/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 973 | $29K |
| 2019 | 767 | $23K |
| 2020 | 106 | $2K |
| 2021 | 474 | $11K |
| 2022 | 603 | $18K |
| 2023 | 759 | $22K |
| 2024 | 463 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 614 | 605 | $31K |
| D0274 | Bitewings - four radiographic images | 782 | 767 | $27K |
| D2394 | 192 | 112 | $20K | |
| D0220 | Intraoral - periapical first radiographic image | 1,136 | 1,105 | $17K |
| D0120 | Periodic oral evaluation - established patient | 605 | 593 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 816 | 800 | $10K |