NPI: 1902983455 · ONEIDA, NY 13421 · General Practice Dentistry · NPI assigned 11/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $305.00 |
| 2019 | 14 | $385.00 |
| 2020 | 14 | $390.00 |
| 2021 | 24 | $665.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 64 | 64 | $2K |