EASTERN PERIODONTIC ASSOCIATES, LLC
NPI: 1093876658
· AVENEL, NJ 07001
· Periodontist
· NPI assigned 12/13/2006
Provider Details
| Authorized Official | PRESTUP, AARON (DIRECTOR OF PERIODONTICS) |
| NPI Enumeration Date | 12/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
67 |
$10K |
| 2021 |
200 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4341 |
|
67 |
24 |
$10K |
| D1110 |
Prophylaxis - adult |
35 |
35 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$900.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$450.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$172.80 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$162.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$72.00 |
| D1999 |
|
69 |
67 |
$0.00 |