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SPECIALITY DENTAL PARTNERS OF VIRGINIA PLLC
SPECIALITY DENTAL PARTNERS OF VIRGINIA PLLC
NPI: 1144772740
· DUNDEE, MI 48131
· Pediatric Dentist
· NPI assigned 10/30/2016
Provider Details
| Authorized Official | WOOD, ROGER (DOCTOR/OWNER) |
| NPI Enumeration Date | 10/30/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,852 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
985 |
983 |
$19K |
| D9630 |
|
936 |
932 |
$19K |
| D1120 |
Prophylaxis - child |
581 |
580 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
902 |
900 |
$16K |
| D1110 |
Prophylaxis - adult |
86 |
86 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
144 |
54 |
$1K |
| D0272 |
Bitewings - two radiographic images |
75 |
75 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
104 |
99 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$782.75 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$306.31 |