NPI: 1629297130 · CRANFORD, NJ 07016 · Dentist · NPI assigned 04/24/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $270.00 |
| 2024 | 729 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 225 | 214 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 172 | 167 | $5K |
| D0120 | Periodic oral evaluation - established patient | 314 | 296 | $5K |
| D9410 | 19 | 14 | $697.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $0.00 |