COLLINGDALE DENTISTRY
NPI: 1336626514
· COLLINGDALE, PA 19023
· General Practice Dentistry
· NPI assigned 07/20/2018
$533.47
Total Medicaid Paid
Provider Details
| Authorized Official | TEWARI, DINESH (PARTNER) |
| NPI Enumeration Date | 07/20/2018 |
Related Entities
Other providers sharing the same authorized official: TEWARI, DINESH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
45 |
$533.47 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$282.86 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
17 |
$137.44 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$113.17 |