NPI: 1720236631 · PEMBERTON, NJ 08068 · General Practice Dentistry · NPI assigned 09/04/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 98 | $1K |
| 2019 | 74 | $1K |
| 2020 | 14 | $280.00 |
| 2022 | 12 | $200.00 |
| 2023 | 53 | $870.00 |
| 2024 | 96 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 97 | 97 | $2K |
| D0330 | Panoramic radiographic image | 66 | 66 | $1K |
| D0120 | Periodic oral evaluation - established patient | 62 | 62 | $1K |
| D1110 | Prophylaxis - adult | 52 | 52 | $880.00 |
| D1120 | Prophylaxis - child | 14 | 14 | $280.00 |
| D0140 | Limited oral evaluation - problem focused | 14 | 14 | $280.00 |
| D0274 | Bitewings - four radiographic images | 30 | 30 | $261.00 |
| D1206 | Topical application of fluoride varnish | 12 | 12 | $90.00 |