NPI: 1235829938 · ROSELLE PARK, NJ 07204 · Dentist · NPI assigned 05/08/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 103 | $3K |
| 2024 | 987 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 158 | 158 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 78 | 45 | $7K |
| D0274 | Bitewings - four radiographic images | 153 | 152 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 159 | 159 | $4K |
| D0120 | Periodic oral evaluation - established patient | 154 | 153 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 175 | 169 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 213 | 209 | $2K |