NORTHEASTERN DENTISTRY @ OVERBROOK
NPI: 1699073239
· PHILADELPHIA, PA 19151
· General Practice Dentistry
· NPI assigned 03/07/2011
Provider Details
Related Entities
Other providers sharing the same authorized official: CHADHALAVADA, KAVITHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
177 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
36 |
34 |
$877.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
38 |
$707.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$571.77 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$405.84 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
37 |
$273.48 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
35 |
$258.36 |