JR DENTAL PLLC
NPI: 1649841776
· CONCORD, MA 01742
· General Practice Dentistry
· NPI assigned 07/09/2021
Provider Details
| Authorized Official | DAI, RUOXI (DENTIST) |
| NPI Enumeration Date | 07/09/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
58 |
$3K |
| 2022 |
109 |
$6K |
| 2023 |
443 |
$18K |
| 2024 |
292 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
394 |
382 |
$20K |
| D0274 |
Bitewings - four radiographic images |
125 |
120 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
105 |
103 |
$4K |
| D0330 |
Panoramic radiographic image |
80 |
72 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
130 |
121 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
32 |
32 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
36 |
31 |
$1K |