TATEM, SAMUEL
NPI: 1881804383
· TEANECK, NJ 07666
· General Practice Dentistry
· NPI assigned 05/23/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
543 |
$12K |
| 2023 |
39 |
$686.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
158 |
158 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
76 |
75 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
133 |
131 |
$650.00 |
| D0274 |
Bitewings - four radiographic images |
45 |
45 |
$540.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
110 |
109 |
$384.00 |