RIVERSIDE DENTAL AT WATER'S EDGE LLC
NPI: 1275927089
· BELCAMP, MD 21017
· Dentist
· NPI assigned 03/19/2015
Provider Details
| Authorized Official | MILAK, NEELU (OWNER) |
| NPI Enumeration Date | 03/19/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
648 |
$24K |
| 2019 |
264 |
$9K |
| 2020 |
25 |
$647.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
210 |
209 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
404 |
397 |
$12K |
| D1120 |
Prophylaxis - child |
118 |
118 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
166 |
159 |
$4K |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$858.00 |