SPOTSWOOD FAMILY DENTAL LLC.
NPI: 1942481676
· EAST BRUNSWICK, NJ 08816
· General Practice Dentistry
· NPI assigned 11/22/2007
Provider Details
| Authorized Official | KASISA, MAGGIE (DENTIST DDS) |
| NPI Enumeration Date | 11/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$180.00 |
| 2020 |
139 |
$2K |
| 2021 |
192 |
$2K |
| 2022 |
141 |
$1K |
| 2023 |
55 |
$180.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
205 |
202 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
121 |
120 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
109 |
$990.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
63 |
62 |
$490.00 |
| D1120 |
Prophylaxis - child |
38 |
38 |
$322.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$90.00 |