STUART A WASSERLAUF DDS PA
NPI: 1881735702
· WEST DEPTFORD, NJ 08086
· Dentist
· NPI assigned 02/12/2007
$216.00
Total Medicaid Paid
Provider Details
| Authorized Official | KASH, ANTHONY (DENTIST/OWNER/PARTNER) |
| NPI Enumeration Date | 02/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
51 |
$216.00 |
| 2020 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
39 |
39 |
$150.00 |
| D1206 |
Topical application of fluoride varnish |
37 |
37 |
$66.00 |