ADVANCE FAMILY & COSMETIC DENTISTRY
NPI: 1043546039
· GAITHERSBURG, MD 20877
· Dentist
· NPI assigned 10/26/2009
Provider Details
| Authorized Official | CABRAL, KARLA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/26/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
291 |
$9K |
| 2019 |
163 |
$5K |
| 2020 |
75 |
$2K |
| 2021 |
70 |
$2K |
| 2022 |
104 |
$3K |
| 2023 |
102 |
$3K |
| 2024 |
50 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
425 |
423 |
$13K |
| D1206 |
Topical application of fluoride varnish |
275 |
274 |
$7K |
| D1120 |
Prophylaxis - child |
103 |
103 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
40 |
40 |
$920.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$697.80 |