PENCZUK, BRYAN
NPI: 1043735764
· POINT PLEASANT BORO, NJ 08742
· Dentist
· NPI assigned 08/03/2017
$655.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$585.00 |
| 2024 |
15 |
$70.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$585.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$70.00 |