ROSIVACK, RICHARD
NPI: 1497822597
· UNION, NJ 07083
· Pediatric Dentist
· NPI assigned 11/30/2006
$334.80
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$334.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$184.80 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$150.00 |