DENTAL CARE OF EGG HARBOR
NPI: 1104499888
· EGG HARBOR CITY, NJ 08215
· Dental Clinic/Center
· NPI assigned 07/21/2021
Provider Details
Related Entities
Other providers sharing the same authorized official: PETTISANI, FRANK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
47 |
$1K |
| 2022 |
228 |
$6K |
| 2023 |
121 |
$4K |
| 2024 |
26 |
$595.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
201 |
193 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
99 |
97 |
$4K |
| D1110 |
Prophylaxis - adult |
63 |
60 |
$3K |
| D2950 |
|
21 |
12 |
$920.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$434.70 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$110.40 |