NPI: 1033343645 · HERNDON, VA 20170 · Dentist · NPI assigned 05/11/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 263 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 173 | 144 | $25K |
| D0274 | Bitewings - four radiographic images | 22 | 20 | $114.00 |
| D0120 | Periodic oral evaluation - established patient | 34 | 32 | $60.52 |
| D0140 | Limited oral evaluation - problem focused | 16 | 16 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 18 | 18 | $0.00 |