NPI: 1568424489 · MANALAPAN, NJ 07726 · Dentist · NPI assigned 04/05/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 64 | $2K |
| 2019 | 39 | $649.00 |
| 2020 | 12 | $540.00 |
| 2021 | 138 | $5K |
| 2022 | 39 | $435.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 91 | 90 | $4K |
| D1110 | Prophylaxis - adult | 40 | 40 | $2K |
| D0120 | Periodic oral evaluation - established patient | 42 | 42 | $1K |
| D1120 | Prophylaxis - child | 13 | 13 | $585.00 |
| D0220 | Intraoral - periapical first radiographic image | 80 | 78 | $395.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 26 | 25 | $84.00 |