PEDIATRIC DENTAL ASSOC LTD
NPI: 1386708121
· PHILADELPHIA, PA 19140
· Dentist
· NPI assigned 12/19/2006
Provider Details
| Authorized Official | ROSENBAUM, MICHAEL (PARTNER) |
| Parent Organization | PEDIATRIC DENTAL ASSOCIATES LTD |
| NPI Enumeration Date | 12/19/2006 |
Related Entities
Other providers sharing the same authorized official: ROSENBAUM, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
141 |
$2K |
| 2019 |
167 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
109 |
107 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
93 |
91 |
$2K |
| D1330 |
|
77 |
77 |
$0.00 |
| D0603 |
|
29 |
29 |
$0.00 |