PINELANDS FAMILY DENTAL CARE
NPI: 1639249055
· MEDFORD, NJ 08055
· General Practice Dentistry
· NPI assigned 11/09/2006
$60.00
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, RICHARD (DENTIST PRESIDENT) |
| NPI Enumeration Date | 11/09/2006 |
Related Entities
Other providers sharing the same authorized official: JONES, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
12 |
$0.00 |
| 2023 |
15 |
$60.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$60.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |