NPI: 1912463290 · N SYRACUSE, NY 13212 · Dental Clinic/Center · NPI assigned 02/12/2019
| Authorized Official | KEMP, APRIL (OFFICE MANAGER) |
| NPI Enumeration Date | 02/12/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,084 | $50K |
| 2020 | 1,234 | $54K |
| 2021 | 2,658 | $148K |
| 2022 | 2,755 | $134K |
| 2023 | 2,740 | $131K |
| 2024 | 452 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 1,343 | 1,111 | $145K | |
| D1110 | 1,795 | 1,795 | $97K | |
| D2393 | 600 | 530 | $74K | |
| D0120 | 2,017 | 2,017 | $54K | |
| D0274 | 1,765 | 1,765 | $48K | |
| D2391 | 387 | 323 | $26K | |
| D1120 | 495 | 495 | $20K | |
| D0150 | 624 | 624 | $18K | |
| D2750 | 15 | 13 | $14K | |
| D1208 | 818 | 818 | $11K | |
| D2394 | 60 | 58 | $9K | |
| D0220 | 524 | 516 | $7K | |
| D0210 | 286 | 282 | $7K | |
| D0140 | 151 | 149 | $2K | |
| D0330 | 28 | 28 | $1K | |
| D0230 | 15 | 15 | $118.44 |