PIRMAND, LESIA
NPI: 1790238327
· WEST ORANGE, NJ 07052
· Dentist
· NPI assigned 08/01/2016
$369.57
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
75 |
$369.57 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
15 |
15 |
$165.36 |
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$149.79 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$54.42 |