NPI: 1710040746 · UNION, NJ 07083 · Pediatric Dentist · NPI assigned 12/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 250 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 45 | 45 | $726.00 |
| D1120 | Prophylaxis - child | 55 | 55 | $700.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 33 | 33 | $588.00 |
| D7140 | Extraction, erupted tooth or exposed root | 15 | 12 | $420.08 |
| D0120 | Periodic oral evaluation - established patient | 35 | 35 | $391.00 |
| D0272 | Bitewings - two radiographic images | 41 | 41 | $302.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $151.20 |
| D0240 | 12 | 12 | $100.80 |