NPI: 1083351738 · TENAFLY, NJ 07670 · Dentist · NPI assigned 05/15/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 88 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 19 | 19 | $0.00 |
| D0274 | Bitewings - four radiographic images | 16 | 16 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 16 | 16 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 20 | 20 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 17 | 17 | $0.00 |