PITTSFORD PEDIATRIC DENTISTRY PLLC
NPI: 1992236806
· PITTSFORD, NY 14534
· Dental Clinic/Center
· NPI assigned 03/22/2017
$295K
Total Medicaid Paid
Provider Details
| Authorized Official | KOCHMAN, DORON (DENTIST/OWNER) |
| NPI Enumeration Date | 03/22/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,117 |
$35K |
| 2022 |
2,734 |
$87K |
| 2023 |
2,642 |
$83K |
| 2024 |
2,760 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,860 |
2,859 |
$82K |
| D1120 |
Prophylaxis - child |
1,910 |
1,909 |
$77K |
| D0120 |
Periodic oral evaluation - established patient |
2,683 |
2,682 |
$74K |
| D1110 |
Prophylaxis - adult |
905 |
905 |
$44K |
| D0272 |
Bitewings - two radiographic images |
790 |
790 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
84 |
84 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
21 |
21 |
$296.40 |