NPI: 1417335985 · UNION CITY, NJ 07087 · General Practice Dentistry · NPI assigned 05/15/2015
| Authorized Official | KHALID, RASHID (OWNER) |
| NPI Enumeration Date | 05/15/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 196 | $319.25 |
| 2019 | 290 | $551.00 |
| 2020 | 25 | $30.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 138 | 138 | $540.50 |
| D0120 | Periodic oral evaluation - established patient | 79 | 79 | $103.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 36 | 13 | $96.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 73 | 72 | $81.50 |
| D0220 | Intraoral - periapical first radiographic image | 129 | 127 | $78.75 |
| D0274 | Bitewings - four radiographic images | 56 | 55 | $0.00 |