NPI: 1679785596 · PARSIPPANY, NJ 07054 · Dentist · NPI assigned 05/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 99 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12 | 12 | $540.00 |
| D0120 | Periodic oral evaluation - established patient | 16 | 16 | $400.00 |
| D0220 | Intraoral - periapical first radiographic image | 46 | 45 | $230.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $144.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 13 | 13 | $48.00 |