NPI: 1922393818 · CEDARHURST, NY 11516 · General Practice Dentistry · NPI assigned 06/19/2011
| Authorized Official | BERGAN, ALINA (OWNER) |
| NPI Enumeration Date | 06/19/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,143 | $31K |
| 2019 | 1,270 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 436 | 435 | $23K |
| D0274 | Bitewings - four radiographic images | 451 | 451 | $12K |
| D0120 | Periodic oral evaluation - established patient | 441 | 441 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 515 | 512 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 462 | 462 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 108 | 108 | $1K |