NPI: 1083054712 · ORADELL, NJ 07649 · Dentist · NPI assigned 06/26/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 186 | $7K |
| 2019 | 209 | $6K |
| 2020 | 145 | $3K |
| 2021 | 27 | $705.00 |
| 2022 | 68 | $2K |
| 2023 | 52 | $2K |
| 2024 | 27 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 242 | 242 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 94 | 45 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 198 | 198 | $4K |
| D1110 | Prophylaxis - adult | 104 | 104 | $4K |
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $567.50 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $281.00 |
| D0220 | Intraoral - periapical first radiographic image | 40 | 38 | $130.50 |