MATAWAN/OLD BRIDGE DENTAL, PA
NPI: 1295920098
· MATAWAN, NJ 07747
· General Practice Dentistry
· NPI assigned 09/14/2007
Provider Details
| Authorized Official | KELLER, DENNIS (OWNER) |
| NPI Enumeration Date | 09/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$675.00 |
| 2020 |
12 |
$75.00 |
| 2021 |
28 |
$925.00 |
| 2022 |
86 |
$2K |
| 2023 |
122 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
76 |
76 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$875.00 |
| D0220 |
Intraoral - periapical first radiographic image |
84 |
82 |
$525.00 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$285.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
45 |
41 |
$172.50 |