NPI: 1528672375 · SICKLERVILLE, NJ 08081 · Dentist · NPI assigned 08/31/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $520.00 |
| 2021 | 286 | $10K |
| 2022 | 393 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 222 | 222 | $9K |
| D1110 | Prophylaxis - adult | 120 | 116 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 123 | 123 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 97 | 93 | $2K |
| D0120 | Periodic oral evaluation - established patient | 61 | 57 | $1K |
| D1206 | Topical application of fluoride varnish | 42 | 42 | $1K |
| D1120 | Prophylaxis - child | 27 | 27 | $1K |