DRISCOLL, THOMAS
NPI: 1760525299
· RED BANK, NJ 07701
· Dentist
· NPI assigned 02/15/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
68 |
$916.00 |
| 2019 |
42 |
$346.00 |
| 2022 |
12 |
$70.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$455.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
13 |
12 |
$350.00 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$208.00 |
| D1206 |
Topical application of fluoride varnish |
21 |
21 |
$150.00 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$99.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$70.00 |