RYLAK, MARK
NPI: 1770742173
· WHIPPANY, NJ 07981
· Dentist
· NPI assigned 06/02/2008
$660.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
69 |
$660.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
40 |
40 |
$360.00 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$300.00 |