NPI: 1972649218 · NORTH MIAMI BEACH, FL 33179 · Dentist · NPI assigned 01/30/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 541 | $5K |
| 2023 | 1,270 | $9K |
| 2024 | 1,115 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 111 | 110 | $7K |
| D0120 | Periodic oral evaluation - established patient | 103 | 103 | $5K |
| D0330 | Panoramic radiographic image | 29 | 28 | $2K |
| D4355 | 12 | 12 | $1K | |
| D1206 | Topical application of fluoride varnish | 508 | 507 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 509 | 482 | $1K |
| D1120 | Prophylaxis - child | 39 | 39 | $769.59 |
| D1110 | Prophylaxis - adult | 180 | 180 | $534.12 |
| D0274 | Bitewings - four radiographic images | 308 | 303 | $529.80 |
| D0220 | Intraoral - periapical first radiographic image | 522 | 504 | $269.70 |
| D1330 | 453 | 452 | $168.26 | |
| D9920 | 12 | 12 | $35.83 | |
| D1351 | Sealant - per tooth | 140 | 25 | $0.00 |