SCHMUTTER, JUDY
NPI: 1689890352
· GLEN ROCK, NJ 07452
· Dentist
· NPI assigned 04/18/2007
$403.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
31 |
$403.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
16 |
16 |
$216.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$187.00 |