NPI: 1851687792 · CINNAMINSON, NJ 08077 · Dentist · NPI assigned 06/20/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 182 | $5K |
| 2019 | 100 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 98 | 98 | $3K |
| D1110 | Prophylaxis - adult | 39 | 39 | $2K |
| D1120 | Prophylaxis - child | 26 | 26 | $1K |
| D1206 | Topical application of fluoride varnish | 13 | 13 | $406.25 |
| D0220 | Intraoral - periapical first radiographic image | 63 | 59 | $315.00 |
| D0274 | Bitewings - four radiographic images | 16 | 16 | $192.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 27 | 27 | $126.00 |