NPI: 1184612277 · UNION CITY, NJ 07087 · General Practice Dentistry · NPI assigned 10/12/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 465 | $10K |
| 2019 | 300 | $8K |
| 2020 | 147 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 407 | 407 | $11K |
| D0120 | Periodic oral evaluation - established patient | 386 | 386 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 54 | 54 | $2K |
| D0274 | Bitewings - four radiographic images | 40 | 40 | $422.00 |
| D1120 | Prophylaxis - child | 12 | 12 | $259.20 |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $140.40 |