EASTERN DENTAL OF HAMILTON, LLC
NPI: 1770631871
· HAMILTON, NJ 08619
· General Practice Dentistry
· NPI assigned 01/08/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, ALAN (DIRECTOR) |
| NPI Enumeration Date | 01/08/2007 |
Related Entities
Other providers sharing the same authorized official: LEVINE, ALAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
34 |
$0.00 |
| 2021 |
619 |
$0.00 |
| 2022 |
640 |
$0.00 |
| 2023 |
1,518 |
$0.00 |
| 2024 |
864 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
543 |
539 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
229 |
226 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
860 |
452 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
142 |
142 |
$0.00 |
| D1999 |
|
299 |
268 |
$0.00 |
| D1110 |
Prophylaxis - adult |
355 |
350 |
$0.00 |
| D0330 |
Panoramic radiographic image |
393 |
391 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
618 |
596 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
206 |
200 |
$0.00 |
| D1120 |
Prophylaxis - child |
30 |
30 |
$0.00 |