BARDASH, ETAN
NPI: 1649851569
· FAIR LAWN, NJ 07410
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/21/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
453 |
$9K |
| 2023 |
225 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
128 |
128 |
$5K |
| D1206 |
Topical application of fluoride varnish |
134 |
134 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
112 |
$2K |
| D0274 |
Bitewings - four radiographic images |
82 |
82 |
$912.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
102 |
102 |
$585.00 |
| D0220 |
Intraoral - periapical first radiographic image |
107 |
107 |
$495.00 |
| D0603 |
|
13 |
13 |
$120.00 |