PEDIATRIC DENTAL ASSOC LTD
NPI: 1902961899
· SOUTHAMPTON, PA 18966
· Dentist
· NPI assigned 12/22/2006
Provider Details
| Authorized Official | ROSENBAUM, MICHAEL (PARTNER) |
| Parent Organization | PEDIATRIC DENTAL ASSOCIATES LTD |
| NPI Enumeration Date | 12/22/2006 |
Related Entities
Other providers sharing the same authorized official: ROSENBAUM, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
908 |
$15K |
| 2019 |
1,111 |
$20K |
| 2020 |
151 |
$2K |
| 2021 |
56 |
$839.65 |
| 2022 |
60 |
$1K |
| 2023 |
204 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
441 |
434 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
577 |
566 |
$13K |
| D0272 |
Bitewings - two radiographic images |
326 |
319 |
$7K |
| D1206 |
Topical application of fluoride varnish |
291 |
285 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
91 |
90 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$421.08 |
| D0602 |
|
94 |
94 |
$0.00 |
| D1330 |
|
612 |
601 |
$0.00 |
| D0603 |
|
46 |
45 |
$0.00 |