NPI: 1437462314 · HADDON HEIGHTS, NJ 08035 · General Practice Dentistry · NPI assigned 07/20/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 665 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0350 | 26 | 26 | $5K | |
| D1110 | Prophylaxis - adult | 54 | 54 | $2K |
| D0140 | Limited oral evaluation - problem focused | 54 | 47 | $2K |
| D0120 | Periodic oral evaluation - established patient | 89 | 89 | $2K |
| D1120 | Prophylaxis - child | 34 | 34 | $1K |
| D1206 | Topical application of fluoride varnish | 42 | 42 | $1K |
| D1351 | Sealant - per tooth | 52 | 14 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 124 | 123 | $807.00 |
| D0220 | Intraoral - periapical first radiographic image | 133 | 131 | $665.00 |
| D0274 | Bitewings - four radiographic images | 40 | 40 | $480.00 |
| D0272 | Bitewings - two radiographic images | 17 | 17 | $170.00 |