NPI: 1952095861 · PARSIPPANY, NJ 07054 · Dentist · NPI assigned 06/05/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 343 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 75 | 75 | $4K |
| D0120 | Periodic oral evaluation - established patient | 68 | 68 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 105 | 104 | $510.00 |
| D0274 | Bitewings - four radiographic images | 32 | 32 | $465.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 63 | 63 | $186.00 |