YAPOR, EDDY
NPI: 1407938053
· WEST NEW YORK, NJ 07093
· General Practice Dentistry
· NPI assigned 10/20/2006
$169.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
78 |
$169.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$156.00 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
30 |
$7.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
24 |
$5.50 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |