EASTERN DENTAL OF NORTHFIELD, LLC
NPI: 1669520763
· NORTHFIELD, NJ 08225
· General Practice Dentistry
· NPI assigned 01/08/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
121 |
$4K |
| 2019 |
688 |
$19K |
| 2020 |
539 |
$8K |
| 2021 |
190 |
$3K |
| 2022 |
458 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
323 |
321 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
295 |
292 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
208 |
208 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
56 |
56 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
412 |
406 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
362 |
232 |
$2K |
| D1120 |
Prophylaxis - child |
27 |
27 |
$1K |
| D0274 |
Bitewings - four radiographic images |
90 |
89 |
$954.20 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$594.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$450.00 |
| D1999 |
|
197 |
184 |
$0.00 |