SOUTH PATERSON DENTAL GROUP
NPI: 1215103841
· PATERSON, NJ 07503
· General Practice Dentistry
· NPI assigned 05/04/2008
Provider Details
| Authorized Official | SIMON, MARC (DENTIST) |
| NPI Enumeration Date | 05/04/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
876 |
$13K |
| 2019 |
788 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
452 |
446 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
498 |
495 |
$8K |
| D0330 |
Panoramic radiographic image |
281 |
281 |
$5K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
73 |
39 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
156 |
155 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
190 |
189 |
$718.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$324.00 |