PEYYETI, MIRA
NPI: 1841389350
· NORTH BRUNSWICK, NJ 08902
· Dentist
· NPI assigned 10/12/2006
$670.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$276.00 |
| 2021 |
55 |
$168.00 |
| 2022 |
29 |
$139.00 |
| 2023 |
26 |
$87.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
113 |
112 |
$507.00 |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$163.00 |