NPI: 1154686939 · TRENTON, NJ 08690 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/09/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 475 | $13K |
| 2019 | 342 | $11K |
| 2020 | 83 | $3K |
| 2021 | 107 | $3K |
| 2022 | 451 | $12K |
| 2023 | 267 | $7K |
| 2024 | 106 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 516 | 516 | $24K |
| D0120 | Periodic oral evaluation - established patient | 554 | 554 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 338 | 338 | $8K |
| D0603 | 153 | 153 | $2K | |
| D1206 | Topical application of fluoride varnish | 50 | 50 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 136 | 136 | $709.00 |
| D0272 | Bitewings - two radiographic images | 43 | 43 | $430.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 41 | 38 | $207.00 |