MATHEW, JAINE
NPI: 1205142775
· NANUET, NY 10954
· Dentist
· NPI assigned 08/23/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$280.00 |
| 2020 |
14 |
$56.00 |
| 2021 |
53 |
$210.56 |
| 2022 |
179 |
$532.00 |
| 2023 |
133 |
$154.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
95 |
94 |
$353.50 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
12 |
$280.00 |
| D0603 |
|
50 |
48 |
$210.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$200.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
36 |
$129.06 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$60.00 |
| D1330 |
|
171 |
165 |
$0.00 |