AMERICAN DENTAL CARE
NPI: 1093267239
· FALLS CHURCH, VA 22046
· Dentist
· NPI assigned 11/03/2016
Provider Details
| Authorized Official | LYAZIDI, AICHA (DENTIST) |
| NPI Enumeration Date | 11/03/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$863.58 |
| 2019 |
24 |
$375.96 |
| 2020 |
79 |
$1K |
| 2021 |
190 |
$7K |
| 2022 |
79 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
110 |
105 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
88 |
86 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
67 |
67 |
$1K |
| D9310 |
|
12 |
12 |
$998.28 |
| D0220 |
Intraoral - periapical first radiographic image |
76 |
72 |
$782.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
25 |
$657.51 |
| D0274 |
Bitewings - four radiographic images |
17 |
13 |
$469.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
13 |
$201.24 |