ROMAN EMPIRE DENTAL, LLC
NPI: 1134894702
· OWINGS MILLS, MD 21117
· Dental Clinic/Center
· NPI assigned 08/14/2021
Provider Details
| Authorized Official | MOSS, ROMAN (DENTIST) |
| NPI Enumeration Date | 08/14/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
449 |
$9K |
| 2023 |
104 |
$2K |
| 2024 |
472 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
157 |
156 |
$9K |
| D0330 |
Panoramic radiographic image |
93 |
93 |
$4K |
| D0274 |
Bitewings - four radiographic images |
124 |
124 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
233 |
227 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
71 |
70 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
196 |
194 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
32 |
$1K |
| D1120 |
Prophylaxis - child |
16 |
15 |
$695.25 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$419.96 |
| D1330 |
|
57 |
57 |
$342.00 |