NPI: 1932233897 · MEDIA, PA 19063 · General Practice Dentistry · NPI assigned 03/15/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 218 | $8K |
| 2021 | 217 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2332 | 109 | 16 | $6K | |
| D1110 | Prophylaxis - adult | 75 | 74 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 58 | 57 | $1K |
| D9110 | 36 | 29 | $997.20 | |
| D0274 | Bitewings - four radiographic images | 17 | 17 | $434.00 |
| D0220 | Intraoral - periapical first radiographic image | 50 | 43 | $366.84 |
| D0230 | Intraoral - periapical each additional radiographic image | 46 | 40 | $359.72 |
| D0120 | Periodic oral evaluation - established patient | 16 | 16 | $305.70 |
| D1208 | Topical application of fluoride, excluding varnish | 14 | 14 | $176.77 |
| D1330 | 14 | 14 | $70.00 |