WAEL M. ELOSTA PLLC
NPI: 1154747541
· LANSDOWNE, VA 20176
· Dental Clinic/Center
· NPI assigned 03/10/2014
Provider Details
| Authorized Official | ELOSTA, WAEL (OWNER) |
| NPI Enumeration Date | 03/10/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$241.80 |
| 2023 |
62 |
$982.56 |
| 2024 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
62 |
62 |
$900.00 |
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$324.36 |