NPI: 1700904299 · AVENEL, NJ 07001 · General Practice Dentistry · NPI assigned 03/26/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 74 | $2K |
| 2021 | 12 | $300.00 |
| 2022 | 107 | $2K |
| 2023 | 161 | $3K |
| 2024 | 199 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 79 | 79 | $4K |
| D0120 | Periodic oral evaluation - established patient | 143 | 143 | $3K |
| D0330 | Panoramic radiographic image | 42 | 42 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 171 | 168 | $820.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 17 | $720.00 |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $525.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 86 | 85 | $357.00 |