TIU, BASILISO
NPI: 1003020512
· EDGEWATER, NJ 07020
· Dentist
· NPI assigned 05/10/2007
$661.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
59 |
$661.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$325.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
14 |
$186.00 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
30 |
$150.00 |