NPI: 1659572410 · RIDGEWOOD, NJ 07450 · Pediatric Dentist · NPI assigned 05/30/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 57 | $2K |
| 2019 | 632 | $20K |
| 2020 | 121 | $4K |
| 2021 | 28 | $2K |
| 2022 | 30 | $2K |
| 2023 | 132 | $4K |
| 2024 | 220 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 524 | 512 | $22K |
| D1206 | Topical application of fluoride varnish | 381 | 377 | $21K |
| D0120 | Periodic oral evaluation - established patient | 189 | 189 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 42 | 39 | $1K |
| D0272 | Bitewings - two radiographic images | 60 | 60 | $677.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12 | 12 | $295.00 |
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $57.00 |