NEWBURGH MODERN DENTISTRY LLC
NPI: 1578208021
· NEWBURGH, IN 47630
· General Practice Dentistry
· NPI assigned 04/29/2022
Provider Details
| Authorized Official | HASSAN, BASAL (OWNER) |
| NPI Enumeration Date | 04/29/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
135 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
44 |
40 |
$2K |
| D0274 |
Bitewings - four radiographic images |
38 |
36 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
26 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
25 |
13 |
$808.28 |