PELAEZ, MAGNOLIA
NPI: 1245293984
· ATLANTIC CITY, NJ 08401
· General Practice Dentistry
· NPI assigned 04/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
114 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
46 |
46 |
$795.00 |
| D0330 |
Panoramic radiographic image |
38 |
38 |
$520.00 |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$240.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$175.00 |