CREATIVE DENTAL ARTS,LLC
NPI: 1912071358
· KINGSTON, NY 12401
· Dental Clinic/Center
· NPI assigned 11/18/2006
Provider Details
| Authorized Official | WEISS, STANLEY (MEMBER) |
| NPI Enumeration Date | 11/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
56 |
$2K |
| 2019 |
105 |
$4K |
| 2020 |
30 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
100 |
100 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
79 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$450.00 |