NPI: 1932207651 · NORTH TONAWANDA, NY 14120 · General Practice Dentistry · NPI assigned 09/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 937 | $52K |
| 2020 | 4,760 | $200K |
| 2021 | 3,068 | $165K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 2,979 | 2,528 | $413K | |
| D1110 | 951 | 951 | $812.00 | |
| D0120 | 1,182 | 1,182 | $496.00 | |
| D2392 | 290 | 249 | $337.01 | |
| D0330 | 431 | 431 | $333.00 | |
| D0274 | 654 | 654 | $238.01 | |
| D2391 | 106 | 92 | $180.00 | |
| D0150 | 183 | 183 | $176.00 | |
| D0140 | 231 | 231 | $168.00 | |
| D0220 | 321 | 317 | $133.01 | |
| D1120 | 203 | 203 | $43.00 | |
| D0272 | 36 | 36 | $17.00 | |
| D1208 | 130 | 130 | $0.01 | |
| D1999 | 870 | 768 | $0.00 | |
| D4910 | 13 | 13 | $0.00 | |
| D0603 | 61 | 61 | $0.00 | |
| D7140 | 19 | 13 | $0.00 | |
| D0602 | 52 | 52 | $0.00 | |
| D2393 | 15 | 14 | $0.00 | |
| D1206 | 25 | 25 | $0.00 | |
| D0601 | 13 | 13 | $0.00 |