MAIETTA, ANTONELLA
NPI: 1407859069
· DOVER, NJ 07801
· Dentist
· NPI assigned 05/27/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$318.00 |
| 2020 |
92 |
$1K |
| 2021 |
24 |
$96.50 |
| 2022 |
170 |
$358.00 |
| 2023 |
405 |
$1K |
| 2024 |
188 |
$560.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
99 |
97 |
$2K |
| D1110 |
Prophylaxis - adult |
61 |
56 |
$880.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
77 |
76 |
$396.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$240.00 |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
36 |
$144.50 |
| D0603 |
|
14 |
14 |
$140.00 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$120.00 |
| D9993 |
|
80 |
79 |
$0.00 |
| D9910 |
|
59 |
54 |
$0.00 |
| D1330 |
|
361 |
347 |
$0.00 |
| D1310 |
|
92 |
90 |
$0.00 |