HATHIRAMANI, MUMTA
NPI: 1497177273
· MOUNTAINSIDE, NJ 07092
· Dentist
· NPI assigned 01/13/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,017 |
$22K |
| 2019 |
193 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
157 |
157 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
98 |
60 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
216 |
216 |
$5K |
| D0274 |
Bitewings - four radiographic images |
172 |
172 |
$2K |
| D1206 |
Topical application of fluoride varnish |
51 |
51 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
246 |
246 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
216 |
216 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$585.00 |
| D0603 |
|
41 |
41 |
$410.00 |