SAMUDRLA, JAYASUDHA
NPI: 1063667525
· NORTH BRUNSWICK, NJ 08902
· General Practice Dentistry
· NPI assigned 11/25/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
15 |
$572.50 |
| 2024 |
79 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
55 |
55 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$592.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$372.50 |