AHLUWALIA, JOLLY
NPI: 1831238203
· MAPLE SHADE, NJ 08052
· General Practice Dentistry
· NPI assigned 02/05/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
447 |
$2K |
| 2019 |
28 |
$144.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
27 |
27 |
$675.00 |
| D0120 |
Periodic oral evaluation - established patient |
73 |
73 |
$450.00 |
| D0220 |
Intraoral - periapical first radiographic image |
154 |
140 |
$305.00 |
| D1110 |
Prophylaxis - adult |
48 |
48 |
$270.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
83 |
81 |
$96.00 |
| D0274 |
Bitewings - four radiographic images |
56 |
56 |
$48.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$45.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
19 |
$0.00 |