ATLANTIC PEDIATRIC DENTISTRY, PC
NPI: 1770759094
· LITTLE SILVER, NJ 07739
· Pediatric Dentist
· NPI assigned 05/06/2008
$600.00
Total Medicaid Paid
Provider Details
| Authorized Official | SAFARI, MATT (PRESIDENT/CEO) |
| NPI Enumeration Date | 05/06/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$600.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$390.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$210.00 |