TRATENBERG, LOUIS
NPI: 1679561807
· JERSEY CITY, NJ 07306
· General Practice Dentistry
· NPI assigned 10/11/2005
$176K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,381 |
$78K |
| 2019 |
6,350 |
$83K |
| 2020 |
1,064 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
4,735 |
4,441 |
$53K |
| D1110 |
Prophylaxis - adult |
3,671 |
3,671 |
$53K |
| D0120 |
Periodic oral evaluation - established patient |
4,147 |
4,121 |
$49K |
| D9410 |
|
448 |
445 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
107 |
107 |
$2K |
| D0274 |
Bitewings - four radiographic images |
244 |
244 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
293 |
289 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
66 |
$199.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
32 |
$113.25 |
| D0270 |
|
52 |
52 |
$99.00 |