JC DENTAL WORKS LLC
NPI: 1023699444
· CLIFFSIDE PARK, NJ 07010
· General Practice Dentistry
· NPI assigned 04/16/2021
$276.00
Total Medicaid Paid
Provider Details
| Authorized Official | CHAE, JIMMY (OWNER) |
| NPI Enumeration Date | 04/16/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
51 |
$276.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$242.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$20.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$8.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$6.00 |