NPI: 1639798531 · MOUNT LAUREL, NJ 08054 · General Practice Dentistry · NPI assigned 04/10/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,479 | $62K |
| 2021 | 5,778 | $139K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 1,907 | 364 | $47K | |
| D1110 | 931 | 930 | $31K | |
| D0274 | 857 | 855 | $23K | |
| D0120 | 1,070 | 1,070 | $21K | |
| D2392 | 338 | 200 | $19K | |
| D1120 | 544 | 542 | $14K | |
| D1206 | 657 | 654 | $12K | |
| D2391 | 220 | 123 | $10K | |
| D0150 | 392 | 390 | $8K | |
| D0220 | 500 | 492 | $4K | |
| D0210 | 72 | 72 | $3K | |
| D7140 | 58 | 41 | $3K | |
| D0230 | 385 | 287 | $3K | |
| D0272 | 163 | 160 | $3K | |
| D1208 | 101 | 101 | $2K | |
| D0140 | 30 | 27 | $539.80 | |
| D1999 | 32 | 32 | $0.00 |