EASTERN DENTAL OF HACKENSACK, LLC
NPI: 1790219772
· HACKENSACK, NJ 07601
· Dentist
· NPI assigned 04/17/2017
$0.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SLOMOVITZ, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
66 |
$0.00 |
| 2019 |
864 |
$0.00 |
| 2020 |
159 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
141 |
141 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
229 |
228 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$0.00 |
| D0330 |
Panoramic radiographic image |
127 |
127 |
$0.00 |
| D1110 |
Prophylaxis - adult |
70 |
70 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
138 |
138 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
248 |
243 |
$0.00 |
| D1120 |
Prophylaxis - child |
39 |
39 |
$0.00 |
| D1999 |
|
16 |
16 |
$0.00 |