SEN, METEHAN
NPI: 1164191490
· BAYONNE, NJ 07002
· General Practice Dentistry
· NPI assigned 09/09/2021
$520.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
100 |
$520.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
58 |
56 |
$225.00 |
| D0330 |
Panoramic radiographic image |
29 |
29 |
$160.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$135.00 |