NPI: 1649471087 · SOMERVILLE, NJ 08876 · General Practice Dentistry · NPI assigned 05/31/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,006 | $19K |
| 2019 | 696 | $12K |
| 2020 | 262 | $4K |
| 2021 | 450 | $7K |
| 2022 | 376 | $5K |
| 2023 | 293 | $5K |
| 2024 | 12 | $55.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 722 | 722 | $18K |
| D1110 | Prophylaxis - adult | 275 | 275 | $12K |
| D1120 | Prophylaxis - child | 156 | 156 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 935 | 909 | $5K |
| D0274 | Bitewings - four radiographic images | 352 | 352 | $4K |
| D1206 | Topical application of fluoride varnish | 123 | 123 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 520 | 513 | $2K |
| D0160 | 12 | 12 | $540.00 |