PREMIERE ORTHO-PEDO PLLC
NPI: 1003234360
· WASHINGTON, DC 20012
· Pediatric Dentist
· NPI assigned 04/03/2014
Provider Details
| Authorized Official | NGWAFON, MARVIN (PRESIDENT) |
| NPI Enumeration Date | 04/03/2014 |
Related Entities
Other providers sharing the same authorized official: NGWAFON, MARVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,132 |
$10K |
| 2019 |
1,083 |
$7K |
| 2020 |
406 |
$2K |
| 2021 |
478 |
$375.00 |
| 2022 |
648 |
$2K |
| 2023 |
489 |
$0.00 |
| 2024 |
207 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
4,390 |
4,277 |
$19K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$564.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$490.00 |
| D8660 |
|
27 |
26 |
$450.00 |