NPI: 1972753861 · DIX HILLS, NY 11746 · General Practice Dentistry · NPI assigned 09/26/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $66.00 |
| 2020 | 13 | $429.00 |
| 2021 | 36 | $990.00 |
| 2022 | 27 | $533.50 |
| 2023 | 363 | $9K |
| 2024 | 502 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 412 | 412 | $16K |
| D0120 | Periodic oral evaluation - established patient | 287 | 287 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 158 | 157 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 28 | $580.80 |
| D0274 | Bitewings - four radiographic images | 28 | 28 | $575.87 |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $154.20 |
| D0230 | Intraoral - periapical each additional radiographic image | 27 | 27 | $131.78 |