NPI: 1861617714 · BRIDGEWATER, NJ 08807 · General Practice Dentistry · NPI assigned 04/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 423 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 91 | 91 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 122 | 122 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17 | 13 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 30 | $0.00 |
| D1120 | Prophylaxis - child | 77 | 77 | $0.00 |
| D0274 | Bitewings - four radiographic images | 25 | 25 | $0.00 |
| D1110 | Prophylaxis - adult | 61 | 61 | $0.00 |