ALEXANDER, SUDHA
NPI: 1710995931
· MATAWAN, NJ 07747
· General Practice Dentistry
· NPI assigned 08/03/2006
$945.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
18 |
$0.00 |
| 2021 |
14 |
$0.00 |
| 2022 |
87 |
$945.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
38 |
38 |
$525.00 |
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$420.00 |
| D1999 |
|
47 |
40 |
$0.00 |