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EASTERN DENTAL OF OCEAN/MONMOUTH, LLC
EASTERN DENTAL OF OCEAN/MONMOUTH, LLC
NPI: 1780130377
· BRICK, NJ 08723
· Dentist
· NPI assigned 09/01/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
420 |
$9K |
| 2024 |
138 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
119 |
119 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
67 |
67 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
95 |
95 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$675.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$360.00 |
| D0330 |
Panoramic radiographic image |
55 |
55 |
$240.00 |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
67 |
$150.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
97 |
16 |
$46.80 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$28.80 |