NPI: 1588867006 · BALA CYNWYD, PA 19004 · General Practice Dentistry · NPI assigned 06/11/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 143 | $4K |
| 2021 | 868 | $24K |
| 2024 | 1,600 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 954 | 942 | $31K |
| D0274 | Bitewings - four radiographic images | 586 | 578 | $14K |
| D0120 | Periodic oral evaluation - established patient | 579 | 571 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 162 | 162 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 256 | 256 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 56 | 24 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18 | 12 | $921.78 |