NPI: 1487659785 · WEST LONG BRANCH, NJ 07764 · Dentist · NPI assigned 06/15/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 247 | $8K |
| 2019 | 34 | $1K |
| 2021 | 28 | $697.50 |
| 2022 | 128 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 135 | 135 | $6K |
| D0120 | Periodic oral evaluation - established patient | 220 | 219 | $5K |
| D1206 | Topical application of fluoride varnish | 57 | 57 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $65.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $36.00 |