NPI: 1164654877 · PALISADES PARK, NJ 07650 · General Practice Dentistry · NPI assigned 08/13/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,162 | $21K |
| 2019 | 937 | $9K |
| 2020 | 348 | $3K |
| 2021 | 333 | $3K |
| 2022 | 138 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 951 | 949 | $14K |
| D1110 | Prophylaxis - adult | 668 | 666 | $11K |
| D0274 | Bitewings - four radiographic images | 441 | 441 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 891 | 880 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 796 | 791 | $2K |
| D1206 | Topical application of fluoride varnish | 80 | 80 | $1K |
| D0272 | Bitewings - two radiographic images | 63 | 63 | $315.00 |
| D1120 | Prophylaxis - child | 15 | 15 | $210.00 |
| D0140 | Limited oral evaluation - problem focused | 13 | 12 | $182.00 |