CRESTWOOD FAMILY DENTAL
NPI: 1215913900
· WHITING, NJ 08759
· General Practice Dentistry
· NPI assigned 12/15/2005
Provider Details
| Authorized Official | POLLER, EDWARD (PRESIDENT) |
| NPI Enumeration Date | 12/15/2005 |
Related Entities
Other providers sharing the same authorized official: POLLER, EDWARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
619 |
$15K |
| 2019 |
374 |
$8K |
| 2020 |
336 |
$7K |
| 2021 |
363 |
$8K |
| 2022 |
545 |
$11K |
| 2023 |
668 |
$14K |
| 2024 |
429 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
970 |
960 |
$42K |
| D0120 |
Periodic oral evaluation - established patient |
685 |
680 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
1,111 |
1,071 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
95 |
92 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
84 |
83 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
319 |
310 |
$1K |
| D0274 |
Bitewings - four radiographic images |
58 |
57 |
$588.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$540.00 |