BROOKSIDE FAMILY DENTAL CORP
NPI: 1053585612
· BLOOMFIELD, NJ 07003
· General Practice Dentistry
· NPI assigned 04/15/2008
Provider Details
| Authorized Official | YACOUB, KINDA (DDS) |
| NPI Enumeration Date | 04/15/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
289 |
$5K |
| 2019 |
316 |
$4K |
| 2020 |
166 |
$2K |
| 2021 |
545 |
$8K |
| 2022 |
630 |
$7K |
| 2023 |
698 |
$10K |
| 2024 |
612 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,582 |
1,559 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
1,221 |
1,201 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
98 |
98 |
$2K |
| D0274 |
Bitewings - four radiographic images |
208 |
205 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
55 |
55 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
39 |
36 |
$500.00 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
49 |
$148.75 |