NPI: 1588194765 · BAYONNE, NJ 07002 · General Practice Dentistry · NPI assigned 06/19/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 32 | $800.00 |
| 2021 | 54 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 86 | 86 | $2K |