NPI: 1710468194 · ELKINS PARK, PA 19027 · Dentist · NPI assigned 08/23/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $375.06 |
| 2021 | 421 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 182 | 182 | $5K |
| D1110 | Prophylaxis - adult | 92 | 92 | $3K |
| D0120 | Periodic oral evaluation - established patient | 68 | 68 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 41 | 41 | $786.60 |
| D1208 | Topical application of fluoride, excluding varnish | 39 | 39 | $603.03 |
| D0330 | Panoramic radiographic image | 14 | 14 | $505.10 |