NPI: 1982961272 · NEWTON, MA 02458 · Dentist · NPI assigned 04/12/2012
| Authorized Official | FAN, XING (DENTIST) |
| NPI Enumeration Date | 04/12/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $372.00 |
| 2019 | 40 | $2K |
| 2020 | 12 | $256.00 |
| 2021 | 24 | $1K |
| 2022 | 417 | $14K |
| 2023 | 549 | $20K |
| 2024 | 660 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 699 | 695 | $38K |
| D0120 | Periodic oral evaluation - established patient | 568 | 563 | $14K |
| D0274 | Bitewings - four radiographic images | 178 | 176 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 152 | 145 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 54 | 42 | $660.00 |
| D0330 | Panoramic radiographic image | 27 | 27 | $569.00 |
| D1120 | Prophylaxis - child | 12 | 12 | $550.00 |
| D0140 | Limited oral evaluation - problem focused | 14 | 12 | $509.00 |
| D1206 | Topical application of fluoride varnish | 13 | 13 | $364.00 |