LEESBURG DENTAL GROUP PLLC
NPI: 1063113199
· LEESBURG, VA 20176
· Dentist
· NPI assigned 03/15/2023
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KALLAS, GEITH (OWNER) |
| NPI Enumeration Date | 03/15/2023 |
Related Entities
Other providers sharing the same authorized official: KALLAS, GEITH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
49 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |