NPI: 1962512756 · HUNTINGTON STATION, NY 11746 · Dentist · NPI assigned 08/30/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 402 | $6K |
| 2021 | 182 | $3K |
| 2022 | 119 | $2K |
| 2023 | 216 | $7K |
| 2024 | 104 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 259 | 259 | $11K |
| D0274 | Bitewings - four radiographic images | 146 | 146 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 163 | 163 | $3K |
| D0120 | Periodic oral evaluation - established patient | 115 | 115 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 128 | 128 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 72 | 72 | $799.83 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $325.38 |
| D1999 | 127 | 113 | $0.00 |