NALIC, IRMA
NPI: 1558147934
· WEST WARWICK, RI 02893
· General Practice Dentistry
· NPI assigned 09/01/2023
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
39 |
$780.00 |
| 2024 |
204 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
143 |
143 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
18 |
$2K |
| D0274 |
Bitewings - four radiographic images |
47 |
47 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
12 |
12 |
$312.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$180.00 |