NPI: 1275730186 · FAIR LAWN, NJ 07410 · Dentist · NPI assigned 07/03/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 211 | $6K |
| 2019 | 211 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 127 | 127 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 143 | 143 | $4K |
| D0120 | Periodic oral evaluation - established patient | 52 | 52 | $1K |
| D9920 | 46 | 46 | $1K | |
| D0601 | 26 | 26 | $260.00 | |
| D0220 | Intraoral - periapical first radiographic image | 14 | 14 | $70.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 14 | $48.00 |