ROSENBLITT, JON
NPI: 1285711408
· STAMFORD, CT 06906
· General Practice Dentistry
· NPI assigned 11/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
234 |
$5K |
| 2019 |
77 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
113 |
111 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
97 |
95 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$798.72 |
| D0274 |
Bitewings - four radiographic images |
16 |
15 |
$526.08 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
28 |
$379.24 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
28 |
$372.64 |