PALISADES MALL DENTAL LLP
NPI: 1952601197
· WEST NYACK, NY 10994
· Dentist
· NPI assigned 10/21/2010
Provider Details
| Authorized Official | KRASNOV, ROSS (OWNER) |
| NPI Enumeration Date | 10/21/2010 |
Related Entities
Other providers sharing the same authorized official: KRASNOV, ROSS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$142.80 |
| 2019 |
25 |
$233.02 |
| 2020 |
383 |
$4K |
| 2021 |
959 |
$10K |
| 2022 |
1,622 |
$11K |
| 2023 |
1,385 |
$10K |
| 2024 |
1,303 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,157 |
1,155 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
1,356 |
1,354 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
1,520 |
1,513 |
$8K |
| D0274 |
Bitewings - four radiographic images |
259 |
259 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,164 |
1,161 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
93 |
93 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
84 |
84 |
$261.57 |
| D1120 |
Prophylaxis - child |
28 |
28 |
$229.48 |
| D0272 |
Bitewings - two radiographic images |
40 |
40 |
$195.39 |