NPI: 1013328442 · BRISTOL, VA 24202 · Dentist · NPI assigned 05/20/2014
| Authorized Official | BETTIS, VICTORIA (OWNER/MANAGER) |
| NPI Enumeration Date | 05/20/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 186 | $4K |
| 2019 | 541 | $13K |
| 2020 | 543 | $13K |
| 2021 | 2,584 | $82K |
| 2022 | 2,264 | $81K |
| 2023 | 1,737 | $35K |
| 2024 | 795 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 652 | 386 | $48K | |
| D1110 | 858 | 845 | $33K | |
| D1208 | 1,383 | 1,360 | $24K | |
| D0150 | 646 | 635 | $21K | |
| D0274 | 721 | 711 | $17K | |
| D2393 | 131 | 93 | $15K | |
| D9230 | 501 | 462 | $14K | |
| D0210 | 879 | 410 | $11K | |
| D1351 | 301 | 96 | $10K | |
| D0120 | 600 | 595 | $8K | |
| D0220 | 836 | 814 | $8K | |
| D0230 | 689 | 618 | $6K | |
| D9630 | 264 | 263 | $5K | |
| D1120 | 147 | 145 | $4K | |
| D2391 | 18 | 12 | $2K | |
| D0330 | 12 | 12 | $647.88 | |
| D0140 | 12 | 12 | $273.13 |