NPI: 1386135960 · WEST COLLINGSWOOD, NJ 08107 · Pediatric Dentist · NPI assigned 05/19/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 462 | $23K |
| 2021 | 1,653 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 609 | 609 | $34K |
| D0120 | Periodic oral evaluation - established patient | 606 | 606 | $26K |
| D1206 | Topical application of fluoride varnish | 660 | 660 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 48 | 26 | $6K |
| D0272 | Bitewings - two radiographic images | 123 | 123 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 57 | 54 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $648.00 |