MIKHAIL, MONICA
NPI: 1093594129
· OLD BRIDGE, NJ 08857
· General Practice Dentistry
· NPI assigned 09/27/2023
$985.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
53 |
$985.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$540.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$325.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
15 |
$75.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$45.00 |