NPI: 1043665706 · PERTH AMBOY, NJ 08861 · Pediatric Dentist · NPI assigned 05/02/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,556 | $38K |
| 2021 | 1,746 | $50K |
| 2022 | 60 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 605 | 605 | $27K | |
| D1206 | 661 | 661 | $21K | |
| D0120 | 569 | 569 | $14K | |
| D2392 | 131 | 76 | $9K | |
| D1351 | 300 | 56 | $6K | |
| D9230 | 204 | 191 | $5K | |
| D0602 | 258 | 258 | $3K | |
| D0272 | 130 | 130 | $1K | |
| D0140 | 26 | 25 | $1K | |
| D0220 | 232 | 232 | $1K | |
| D2391 | 20 | 14 | $1K | |
| D0230 | 185 | 185 | $582.00 | |
| D0150 | 13 | 13 | $325.00 | |
| D0603 | 28 | 28 | $280.00 |