GEORGE XENAKIS, DDS, PALISADES PARK, LLC
NPI: 1760830293
· HACKENSACK, NJ 07601
· Dental Clinic/Center
· NPI assigned 05/25/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: XENAKIS, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2019 |
527 |
$1K |
| 2020 |
550 |
$879.25 |
| 2021 |
82 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
208 |
208 |
$765.00 |
| D0120 |
Periodic oral evaluation - established patient |
123 |
123 |
$375.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
59 |
59 |
$322.00 |
| D0220 |
Intraoral - periapical first radiographic image |
359 |
343 |
$277.50 |
| D0274 |
Bitewings - four radiographic images |
143 |
143 |
$198.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
210 |
202 |
$159.50 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$75.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$56.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
29 |
13 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
16 |
$0.00 |