NPI: 1952388522 · KINGSTON, NY 12401 · General Practice Dentistry · NPI assigned 12/27/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 940 | $31K |
| 2019 | 1,067 | $37K |
| 2020 | 86 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 830 | 829 | $37K |
| D0120 | Periodic oral evaluation - established patient | 744 | 744 | $18K |
| D0210 | Intraoral - complete series of radiographic images | 140 | 140 | $7K |
| D0274 | Bitewings - four radiographic images | 208 | 207 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 58 | 58 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 70 | 70 | $802.00 |
| D0140 | Limited oral evaluation - problem focused | 31 | 31 | $417.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $202.00 |