CHARLOTTESVILLE PEDIATRIC DENTISTRY LLC
NPI: 1023740180
· CHARLOTTESVILLE, VA 22911
· Pediatric Dentist
· NPI assigned 06/28/2022
Provider Details
| Authorized Official | HEATH, BROOKE (OFFICE MANAGER) |
| NPI Enumeration Date | 06/28/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
824 |
$22K |
| 2023 |
2,040 |
$32K |
| 2024 |
1,093 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
997 |
990 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
1,454 |
1,442 |
$17K |
| D1208 |
Topical application of fluoride, excluding varnish |
348 |
348 |
$8K |
| D1206 |
Topical application of fluoride varnish |
962 |
951 |
$7K |
| D1110 |
Prophylaxis - adult |
83 |
80 |
$2K |
| D0272 |
Bitewings - two radiographic images |
73 |
73 |
$851.45 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$466.44 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
27 |
14 |
$0.00 |