NPI: 1659711638 · FEASTERVILLE, PA 19053 · General Practice Dentistry · NPI assigned 07/05/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 54 | $2K |
| 2021 | 381 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 181 | 181 | $6K |
| D0120 | Periodic oral evaluation - established patient | 135 | 135 | $3K |
| D0274 | Bitewings - four radiographic images | 62 | 62 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 18 | 12 | $810.36 |
| D0150 | Comprehensive oral evaluation - new or established patient | 39 | 39 | $779.60 |