NPI: 1912658113 · ENGLEWOOD, NJ 07631 · General Practice Dentistry · NPI assigned 01/10/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 415 | $7K |
| 2024 | 2,090 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 520 | 520 | $16K |
| D0120 | Periodic oral evaluation - established patient | 481 | 481 | $11K |
| D0274 | Bitewings - four radiographic images | 469 | 469 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 477 | 477 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 542 | 534 | $2K |
| D0140 | Limited oral evaluation - problem focused | 16 | 16 | $520.00 |