NPI: 1992834360 · BROOKLYN, NY 11203 · Pediatric Dentist · NPI assigned 03/03/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,415 | $144K |
| 2019 | 6,578 | $213K |
| 2020 | 4,463 | $154K |
| 2021 | 2,166 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | 4,064 | 3,882 | $589K | |
| D1120 | 1,852 | 1,851 | $2K | |
| D2392 | 382 | 257 | $2K | |
| D0272 | 778 | 778 | $553.25 | |
| D0150 | 265 | 265 | $525.05 | |
| D1208 | 1,771 | 1,771 | $485.00 | |
| D0220 | 580 | 575 | $463.45 | |
| D7140 | 342 | 246 | $418.00 | |
| D0330 | 723 | 723 | $396.50 | |
| D0120 | 1,990 | 1,988 | $348.05 | |
| D2391 | 181 | 138 | $265.65 | |
| D0140 | 283 | 283 | $143.80 | |
| D0274 | 503 | 503 | $121.00 | |
| D1110 | 483 | 483 | $90.00 | |
| D1351 | 128 | 55 | $81.70 | |
| D0230 | 702 | 701 | $77.00 | |
| D1206 | 289 | 289 | $65.00 | |
| D0603 | 173 | 173 | $0.00 | |
| D1330 | 577 | 577 | $0.00 | |
| D1310 | 380 | 380 | $0.00 | |
| D0601 | 108 | 108 | $0.00 | |
| D0602 | 42 | 42 | $0.00 | |
| D9995 | 26 | 24 | $0.00 |