NPI: 1942522487 · DIX HILLS, NY 11746 · Pediatric Dentist · NPI assigned 02/25/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 135 | $3K |
| 2019 | 276 | $7K |
| 2020 | 874 | $20K |
| 2021 | 399 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 458 | 458 | $19K |
| D0120 | Periodic oral evaluation - established patient | 504 | 504 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 554 | 554 | $7K |
| D0272 | Bitewings - two radiographic images | 120 | 120 | $2K |
| D0274 | Bitewings - four radiographic images | 14 | 14 | $324.45 |
| D1999 | 34 | 34 | $0.00 |