SHORE ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI: 1952680100
· GALLOWAY, NJ 08205
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/05/2011
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KALIKA, BORIS (OWNER) |
| NPI Enumeration Date | 08/05/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
67 |
$0.00 |
| 2019 |
62 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
55 |
$0.00 |
| D0330 |
Panoramic radiographic image |
42 |
42 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
32 |
13 |
$0.00 |