NPI: 1558511659 · ENGLEWOOD, NJ 07631 · General Practice Dentistry · NPI assigned 09/25/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 487 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 77 | 77 | $4K |
| D0274 | Bitewings - four radiographic images | 78 | 78 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 81 | 81 | $2K |
| D0120 | Periodic oral evaluation - established patient | 69 | 69 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 86 | 86 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 96 | 96 | $960.00 |