NPI: 1275507162 · BLOOMFIELD, NJ 07003 · Dentist · NPI assigned 02/15/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 25 | $80.00 |
| 2023 | 363 | $5K |
| 2024 | 242 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 119 | 119 | $4K |
| D0120 | Periodic oral evaluation - established patient | 145 | 145 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 176 | 174 | $625.00 |
| D0274 | Bitewings - four radiographic images | 51 | 51 | $516.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 127 | 123 | $426.00 |
| D9310 | 12 | 12 | $80.00 |