MARIGOLD PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI: 1871114512
· MAPLEWOOD, NJ 07040
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/05/2020
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
306 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
43 |
43 |
$946.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
34 |
$918.00 |
| D1206 |
Topical application of fluoride varnish |
42 |
42 |
$630.00 |
| D0603 |
|
42 |
42 |
$420.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
89 |
38 |
$195.00 |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
37 |
$144.00 |
| D0272 |
Bitewings - two radiographic images |
18 |
18 |
$85.00 |