NPI: 1831560663 · HERSHEY, PA 17033 · Dental Clinic/Center · NPI assigned 10/20/2015
| Authorized Official | MOSS, BARRY (OWNER) |
| NPI Enumeration Date | 10/20/2015 |
Other providers sharing the same authorized official: MOSS, BARRY
| Provider | City | State | Total Paid |
|---|---|---|---|
| INDIJU3DENTAL LLC | READING | PA | $69K |
| VE MOSS DENTAL PC | HEGINS | PA | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 41 | $1K |
| 2021 | 119 | $3K |
| 2024 | 395 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 167 | 160 | $6K |
| D0120 | Periodic oral evaluation - established patient | 154 | 148 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 46 | 44 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 33 | 31 | $1K |
| D0274 | Bitewings - four radiographic images | 43 | 40 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 38 | 34 | $573.12 |
| D0330 | Panoramic radiographic image | 15 | 14 | $529.10 |
| D1120 | Prophylaxis - child | 17 | 14 | $393.00 |
| D0220 | Intraoral - periapical first radiographic image | 42 | 39 | $341.60 |