NPI: 1730262866 · TEANECK, NJ 07666 · General Practice Dentistry · NPI assigned 10/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 973 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 307 | 307 | $6K |
| D1110 | Prophylaxis - adult | 236 | 236 | $6K |
| D0274 | Bitewings - four radiographic images | 324 | 324 | $3K |
| D1120 | Prophylaxis - child | 46 | 46 | $2K |
| D1206 | Topical application of fluoride varnish | 48 | 48 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $0.00 |