NPI: 1639362098 · AVENEL, NJ 07001 · General Practice Dentistry · NPI assigned 08/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 107 | $1K |
| 2019 | 37 | $495.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $675.00 |
| D0220 | Intraoral - periapical first radiographic image | 93 | 92 | $558.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $180.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 14 | $84.00 |