OLD BRIDGE PEDIATRIC DENTISTRY LLC
NPI: 1003677477
· OLD BRIDGE, NJ 08857
· Pediatric Dentist
· NPI assigned 01/22/2024
Provider Details
| Authorized Official | MARTINEZ, LUIS (DIRECTOR OF REVENUE CYCLE) |
| NPI Enumeration Date | 01/22/2024 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, LUIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
814 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
180 |
22 |
$4K |
| D1120 |
Prophylaxis - child |
118 |
116 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
58 |
57 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
47 |
46 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
80 |
80 |
$987.50 |
| D0603 |
|
60 |
59 |
$590.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
40 |
34 |
$585.00 |
| D9920 |
|
26 |
26 |
$448.00 |
| D0272 |
Bitewings - two radiographic images |
51 |
49 |
$428.75 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$300.00 |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
55 |
$275.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
13 |
$243.75 |
| D0230 |
Intraoral - periapical each additional radiographic image |
59 |
53 |
$210.00 |
| D0602 |
|
12 |
12 |
$120.00 |