NPI: 1679919252 · PATERSON, NJ 07503 · Dentist · NPI assigned 05/22/2013
| Authorized Official | FUENTES, PETER (OWNER) |
| NPI Enumeration Date | 05/22/2013 |
Other providers sharing the same authorized official: FUENTES, PETER
| Provider | City | State | Total Paid |
|---|---|---|---|
| NORTH BERGEN DENTAL GROUP | NORTH BERGEN | NJ | $983K |
| BERGENLINE DENTAL GROUP | UNION CITY | NJ | $294K |
| BAYONNE FAMILY DENTAL | BAYONNE | NJ | $24K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 39 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 39 | 27 | $2K |