NPI: 1144769407 · LONDONDERRY, NH 03053 · Dentist · NPI assigned 02/20/2017
| Authorized Official | NATARAJAN, BRINDHA (MEMBER/OWNER) |
| NPI Enumeration Date | 02/20/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 160 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 32 | 26 | $2K |
| D1110 | Prophylaxis - adult | 38 | 28 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 36 | 33 | $631.62 |
| D0274 | Bitewings - four radiographic images | 16 | 14 | $442.13 |
| D0220 | Intraoral - periapical first radiographic image | 19 | 16 | $119.04 |
| D0230 | Intraoral - periapical each additional radiographic image | 19 | 16 | $85.12 |