NPI: 1578687471 · AVENEL, NJ 07001 · General Practice Dentistry · NPI assigned 03/17/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 374 | $11K |
| 2019 | 222 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 117 | 117 | $6K |
| D0120 | Periodic oral evaluation - established patient | 250 | 250 | $6K |
| D0274 | Bitewings - four radiographic images | 45 | 45 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 109 | 108 | $1K |
| D1120 | Prophylaxis - child | 14 | 14 | $770.00 |
| D1206 | Topical application of fluoride varnish | 18 | 18 | $562.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 43 | 43 | $504.00 |