INDIJU3DENTAL LLC
NPI: 1275073256
· READING, PA 19607
· Dentist
· NPI assigned 02/24/2017
Provider Details
| Authorized Official | MOSS, BARRY (OWNER) |
| NPI Enumeration Date | 02/24/2017 |
Related Entities
Other providers sharing the same authorized official: MOSS, BARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
69 |
$2K |
| 2021 |
841 |
$23K |
| 2024 |
1,481 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
737 |
731 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
776 |
768 |
$18K |
| D0274 |
Bitewings - four radiographic images |
329 |
326 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
241 |
234 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
42 |
28 |
$3K |
| D1120 |
Prophylaxis - child |
91 |
90 |
$3K |
| D1351 |
Sealant - per tooth |
17 |
12 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
87 |
87 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
12 |
$800.00 |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
55 |
$469.60 |