PARK, JENNIFER
NPI: 1205318060
· PALISADES PARK, NJ 07650
· General Practice Dentistry
· NPI assigned 08/29/2018
$970.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
71 |
$970.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
21 |
21 |
$450.00 |
| D0140 |
Limited oral evaluation - problem focused |
20 |
20 |
$450.00 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
17 |
$40.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$30.00 |