BURT, ARNOLD
NPI: 1932215647
· PENNSAUKEN, NJ 08109
· Dentist
· NPI assigned 08/23/2006
$391.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
36 |
$391.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$295.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$60.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$36.00 |