KICA, ARBNOR
NPI: 1245808203
· MONTCLAIR, NJ 07043
· Dentist
· NPI assigned 06/16/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
16 |
$405.00 |
| 2023 |
119 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
29 |
29 |
$990.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
31 |
$775.00 |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$675.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$495.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$325.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$275.00 |
| D0220 |
Intraoral - periapical first radiographic image |
22 |
19 |
$105.00 |