NPI: 1255590709 · MARLTON, NJ 08053 · Dentist · NPI assigned 06/09/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 159 | $4K |
| 2019 | 168 | $5K |
| 2020 | 77 | $2K |
| 2021 | 227 | $6K |
| 2022 | 476 | $14K |
| 2023 | 686 | $19K |
| 2024 | 399 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 670 | 668 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 682 | 681 | $17K |
| D0120 | Periodic oral evaluation - established patient | 466 | 465 | $11K |
| D0274 | Bitewings - four radiographic images | 286 | 285 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22 | 12 | $2K |
| D0330 | Panoramic radiographic image | 27 | 27 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 39 | 39 | $190.00 |