NPI: 1932782349 · UNION, NJ 07083 · Dentist · NPI assigned 05/03/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 191 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 46 | 40 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 74 | 66 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 29 | 25 | $625.00 |
| D1120 | Prophylaxis - child | 14 | 12 | $450.00 |
| D0274 | Bitewings - four radiographic images | 28 | 24 | $240.00 |