JESSICA WOLLENBERG, D.M.D
Oral and Maxillofacial Pathology Dentistry · RANDOLPH, NJ
Individual Active NPI 1770801888
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 232 | 306 | $74,768 | $43,281 | $31,506 |
| 2023 | 229 | 318 | $72,356 | $47,607 | $34,140 |
| 2022 | 199 | 275 | $57,726 | $39,547 | $27,854 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 157 | $179 | $129 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 100 | $62 | $45 |
| 40808 | Biopsy of mouth | 18 | $185 | $139 |
| 41100 | Biopsy of front 2/3 of tongue | 14 | $207 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | ✓ | 22DI02546000 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Oral and Maxillofacial Pathology Dentistry providers in New Jersey
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See all Oral and Maxillofacial Pathology Dentistry providers in New Jersey →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.