RUTGERS SCHOOL OF DENTAL MEDICINE
NPI: 1831302504
· SOMERDALE, NJ 08083
· Dental Clinic/Center
· NPI assigned 05/08/2007
$111K
Total Medicaid Paid
Provider Details
| Authorized Official | RICHMOND, KEITH (DENTAL DIRECTOR) |
| NPI Enumeration Date | 05/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
207 |
$7K |
| 2019 |
361 |
$18K |
| 2020 |
158 |
$5K |
| 2021 |
347 |
$25K |
| 2022 |
884 |
$41K |
| 2023 |
347 |
$11K |
| 2024 |
161 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9420 |
|
195 |
192 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
832 |
779 |
$25K |
| D1110 |
Prophylaxis - adult |
702 |
657 |
$25K |
| D0210 |
Intraoral - complete series of radiographic images |
75 |
74 |
$6K |
| D9310 |
|
59 |
57 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
401 |
83 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
163 |
155 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$452.94 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$216.63 |