NPI: 1992084586 · MASPETH, NY 11378 · General Practice Dentistry · NPI assigned 08/12/2011
| Authorized Official | DRAGAN, MAGDALENA (MANAGER) |
| NPI Enumeration Date | 08/12/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 57 | $694.14 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 14 | 14 | $256.02 |
| D0120 | Periodic oral evaluation - established patient | 15 | 15 | $250.28 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 14 | $127.16 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 14 | $60.68 |