NIDHESHA LLC
NPI: 1730566266
· LANCASTER, PA 17601
· General Practice Dentistry
· NPI assigned 05/05/2015
Provider Details
| Authorized Official | PATEL, JIGNA (SOLE MBR) |
| NPI Enumeration Date | 05/05/2015 |
Related Entities
Other providers sharing the same authorized official: PATEL, JIGNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,368 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
285 |
278 |
$10K |
| D0274 |
Bitewings - four radiographic images |
297 |
292 |
$7K |
| D0330 |
Panoramic radiographic image |
170 |
169 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
263 |
260 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
63 |
61 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
29 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
110 |
105 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
96 |
94 |
$2K |
| D1120 |
Prophylaxis - child |
15 |
15 |
$432.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$148.00 |