NPI: 1083959365 · BETHESDA, MD 20814 · General Practice Dentistry · NPI assigned 11/28/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 24 | $892.58 |
| 2023 | 1,297 | $56K |
| 2024 | 1,013 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 585 | 580 | $38K |
| D1206 | Topical application of fluoride varnish | 662 | 657 | $17K |
| D0150 | Comprehensive oral evaluation - new or established patient | 237 | 231 | $13K |
| D0120 | Periodic oral evaluation - established patient | 307 | 307 | $10K |
| D0330 | Panoramic radiographic image | 182 | 182 | $8K |
| D0274 | Bitewings - four radiographic images | 301 | 297 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 60 | 15 | $5K |