SPECIAL NEEDS DENTISTRY OF PA
NPI: 1497323992
· EXTON, PA 19341
· General Practice Dentistry
· NPI assigned 06/12/2021
$162K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: ROSENTHAL, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,600 |
$162K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
970 |
956 |
$120K |
| D1110 |
Prophylaxis - adult |
728 |
727 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
809 |
808 |
$15K |
| D0330 |
Panoramic radiographic image |
58 |
58 |
$2K |
| D0272 |
Bitewings - two radiographic images |
35 |
35 |
$560.00 |