NPI: 1972266237 · SHALLOTTE, NC 28470 · General Practice Dentistry · NPI assigned 10/14/2021
Authorized official RICCOBENE, MICHAEL controls 20+ related entities in our dataset. Read more
| Authorized Official | RICCOBENE, MICHAEL (CEO) |
| NPI Enumeration Date | 10/14/2021 |
Other providers sharing the same authorized official: RICCOBENE, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 525 | $11K |
| 2023 | 291 | $9K |
| 2024 | 145 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 375 | 367 | $9K |
| D1110 | Prophylaxis - adult | 172 | 170 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 197 | 192 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 27 | 16 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 92 | 65 | $1K |
| D0274 | Bitewings - four radiographic images | 33 | 32 | $939.40 |
| D1206 | Topical application of fluoride varnish | 39 | 36 | $570.52 |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $398.73 |
| D1120 | Prophylaxis - child | 13 | 13 | $341.52 |