RIVERWOOD DENTAL LLC
NPI: 1699367490
· LAKEWOOD, NJ 08701
· Health Service Clinic/Center
· NPI assigned 02/03/2021
Provider Details
| Authorized Official | ATLAS, REUBEN (OWNER, PARTNER) |
| NPI Enumeration Date | 02/03/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
208 |
$1K |
| 2022 |
251 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
65 |
$782.00 |
| D1120 |
Prophylaxis - child |
135 |
45 |
$616.00 |
| D1110 |
Prophylaxis - adult |
115 |
61 |
$493.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
39 |
26 |
$304.00 |
| D0120 |
Periodic oral evaluation - established patient |
41 |
14 |
$195.00 |