LTC MOBILE DENTAL SERVICES, P.A.
NPI: 1083936611
· UNION, NJ 07083
· Dentist
· NPI assigned 02/23/2010
Provider Details
| Authorized Official | GVILDYS, RAMA (PRESIDENT) |
| NPI Enumeration Date | 02/23/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
691 |
$13K |
| 2019 |
602 |
$12K |
| 2020 |
187 |
$4K |
| 2021 |
74 |
$2K |
| 2022 |
54 |
$1K |
| 2023 |
40 |
$765.00 |
| 2024 |
13 |
$205.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9410 |
|
977 |
905 |
$21K |
| D0120 |
Periodic oral evaluation - established patient |
372 |
370 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
248 |
248 |
$5K |
| D1110 |
Prophylaxis - adult |
64 |
64 |
$1K |