NPI: 1912053208 · HOLBROOK, NY 11741 · General Practice Dentistry · NPI assigned 01/27/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,042 | $17K |
| 2019 | 2,823 | $54K |
| 2020 | 1,093 | $15K |
| 2021 | 1,543 | $24K |
| 2022 | 1,825 | $32K |
| 2023 | 1,030 | $19K |
| 2024 | 455 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,799 | 1,796 | $67K |
| D0120 | Periodic oral evaluation - established patient | 2,189 | 2,182 | $43K |
| D0274 | Bitewings - four radiographic images | 1,873 | 1,871 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,123 | 2,107 | $15K |
| D0220 | Intraoral - periapical first radiographic image | 1,814 | 1,789 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $126.00 |