NPI: 1447442157 · BAYVILLE, NJ 08721 · Dentist · NPI assigned 08/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 222 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100 | 100 | $840.00 |
| D0120 | Periodic oral evaluation - established patient | 44 | 43 | $275.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 24 | $211.00 |
| D0210 | Intraoral - complete series of radiographic images | 14 | 14 | $194.00 |
| D0274 | Bitewings - four radiographic images | 40 | 39 | $147.00 |