5TH AVE DENTAL INC.
NPI: 1396136511
· GARY, IN 46404
· General Practice Dentistry
· NPI assigned 02/10/2015
Provider Details
| Authorized Official | SAPARIA, AMIT (PRESIDENT) |
| NPI Enumeration Date | 02/10/2015 |
Related Entities
Other providers sharing the same authorized official: SAPARIA, AMIT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
300 |
$223.36 |
| 2019 |
136 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
127 |
115 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
74 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
81 |
28 |
$474.00 |
| D0140 |
Limited oral evaluation - problem focused |
30 |
30 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$0.00 |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
58 |
18 |
$0.00 |