NPI: 1659757003 · NORTH BRUNSWICK, NJ 08902 · Dentist · NPI assigned 08/08/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 38 | $950.00 |
| 2019 | 51 | $2K |
| 2020 | 37 | $1K |
| 2021 | 304 | $10K |
| 2022 | 418 | $13K |
| 2023 | 414 | $12K |
| 2024 | 259 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 422 | 421 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 604 | 598 | $15K |
| D0120 | Periodic oral evaluation - established patient | 415 | 408 | $10K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25 | 14 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 27 | $675.00 |
| D0140 | Limited oral evaluation - problem focused | 14 | 14 | $625.00 |
| D0330 | Panoramic radiographic image | 14 | 14 | $560.00 |