JOHAL MEDICAL ENTERPRISES
NPI: 1801808845
· COLONIA, NJ 07067
· Dental Clinic/Center
· NPI assigned 08/11/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | JOHAL, SUNDEEP (DENTAST) |
| NPI Enumeration Date | 08/11/2006 |
Related Entities
Other providers sharing the same authorized official: JOHAL, SUNDEEP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
52 |
$0.00 |
| 2021 |
535 |
$0.00 |
| 2022 |
1,010 |
$0.00 |
| 2023 |
1,237 |
$0.00 |
| 2024 |
1,045 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
458 |
443 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
688 |
670 |
$0.00 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
28 |
13 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
30 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
637 |
492 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
419 |
410 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,057 |
1,025 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
532 |
514 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
27 |
26 |
$0.00 |