GALLERIA MALL DENTAL PC
NPI: 1932326618
· MIDDLETOWN, NY 10941
· Dentist
· NPI assigned 04/20/2007
Provider Details
| Authorized Official | KRASNOV, ROSS (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 04/20/2007 |
Related Entities
Other providers sharing the same authorized official: KRASNOV, ROSS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
710 |
$5K |
| 2019 |
853 |
$5K |
| 2020 |
185 |
$2K |
| 2021 |
1,270 |
$5K |
| 2022 |
2,162 |
$5K |
| 2023 |
2,167 |
$6K |
| 2024 |
52 |
$269.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,145 |
2,143 |
$10K |
| D1110 |
Prophylaxis - adult |
811 |
811 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
1,986 |
1,979 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,313 |
1,312 |
$2K |
| D0274 |
Bitewings - four radiographic images |
614 |
614 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
106 |
106 |
$308.00 |
| D1120 |
Prophylaxis - child |
132 |
132 |
$243.00 |
| D0140 |
Limited oral evaluation - problem focused |
203 |
203 |
$192.40 |
| D0272 |
Bitewings - two radiographic images |
89 |
89 |
$173.96 |