NPI: 1235407271 · ISELIN, NJ 08830 · Dentist · NPI assigned 12/05/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 79 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12 | 12 | $396.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $355.50 |
| D0220 | Intraoral - periapical first radiographic image | 29 | 29 | $154.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 26 | 26 | $150.00 |