NPI: 1275098881 · JACKSON, NJ 08527 · Dental Clinic/Center · NPI assigned 02/07/2019
| Authorized Official | ROTHSTEIN, JEFFREY (DENTIST) |
| NPI Enumeration Date | 02/07/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $569.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12 | 12 | $569.25 |