COSMETIC AND FAMILY DENTISTRY
NPI: 1093881815
· HERNDON, VA 20171
· General Practice Dentistry
· NPI assigned 11/24/2006
$292K
Total Medicaid Paid
Provider Details
| Authorized Official | GANJI, NAZILA (PRESIDENT) |
| NPI Enumeration Date | 11/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,263 |
$69K |
| 2019 |
1,969 |
$50K |
| 2020 |
1,563 |
$41K |
| 2021 |
1,483 |
$40K |
| 2022 |
2,037 |
$62K |
| 2023 |
2,324 |
$31K |
| 2024 |
1,291 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
1,643 |
1,614 |
$62K |
| D1208 |
|
2,832 |
2,801 |
$50K |
| D0120 |
|
2,856 |
2,823 |
$48K |
| D1120 |
|
1,531 |
1,515 |
$45K |
| D9630 |
|
1,709 |
1,704 |
$27K |
| D0272 |
|
1,309 |
1,282 |
$22K |
| D9920 |
|
269 |
244 |
$16K |
| D2392 |
|
94 |
40 |
$6K |
| D0150 |
|
240 |
220 |
$6K |
| D2391 |
|
98 |
24 |
$4K |
| D2393 |
|
84 |
36 |
$3K |
| D0210 |
|
44 |
40 |
$2K |
| D0330 |
|
19 |
12 |
$539.90 |
| D0220 |
|
73 |
67 |
$134.16 |
| D0274 |
|
43 |
43 |
$0.00 |
| D1351 |
|
86 |
24 |
$0.00 |