NPI: 1205526506 · BAYONNE, NJ 07002 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/10/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $15.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $15.00 |