NPI: 1598247595 · GLASSBORO, NJ 08028 · Dentist · NPI assigned 09/05/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 40 | $464.00 |
| 2021 | 29 | $317.00 |
| 2022 | 79 | $360.50 |
| 2023 | 24 | $63.75 |
| 2024 | 70 | $354.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 67 | 67 | $858.00 |
| D0274 | Bitewings - four radiographic images | 53 | 53 | $441.00 |
| D0220 | Intraoral - periapical first radiographic image | 82 | 82 | $225.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 13 | 13 | $35.75 |
| D0431 | 27 | 27 | $0.00 |