NPI: 1679097257 · LINDENWOLD, NJ 08021 · Dentist · NPI assigned 07/26/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 105 | $2K |
| 2020 | 445 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 134 | 134 | $4K |
| D1120 | Prophylaxis - child | 55 | 55 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 86 | 86 | $2K |
| D1110 | Prophylaxis - adult | 28 | 28 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 105 | 105 | $870.00 |
| D0220 | Intraoral - periapical first radiographic image | 117 | 113 | $585.00 |
| D0274 | Bitewings - four radiographic images | 25 | 25 | $325.00 |