THE SMILE SPA OF NORTH JERSEY,LLC
NPI: 1710151089
· MIDLAND PARK, NJ 07432
· Periodontist
· NPI assigned 04/17/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
166 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
34 |
19 |
$714.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$409.50 |
| D1110 |
Prophylaxis - adult |
18 |
17 |
$378.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$294.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
26 |
16 |
$277.20 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
19 |
$134.40 |
| D0350 |
|
29 |
22 |
$37.50 |