NOVO DENTAL LLC
NPI: 1194504464
· GARFIELD, NJ 07026
· General Practice Dentistry
· NPI assigned 09/26/2023
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
300 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
114 |
110 |
$1K |
| D1110 |
Prophylaxis - adult |
84 |
81 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
59 |
56 |
$870.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
13 |
$456.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$45.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$32.00 |