BALMURI, SUDHAKER
NPI: 1003824913
· EAST ORANGE, NJ 07017
· Dentist
· NPI assigned 08/04/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$207.00 |
| 2019 |
138 |
$825.25 |
| 2020 |
25 |
$81.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
24 |
24 |
$393.00 |
| D0220 |
Intraoral - periapical first radiographic image |
77 |
77 |
$300.75 |
| D0230 |
Intraoral - periapical each additional radiographic image |
62 |
62 |
$198.25 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$162.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$60.00 |