NPI: 1164136149 · CROFTON, MD 21114 · Pediatric Dentist · NPI assigned 01/13/2023
| Authorized Official | APATA, IRENE (PEDIATRIC DENTIST/OWNER) |
| NPI Enumeration Date | 01/13/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $315.48 |
| 2024 | 1,329 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 273 | 273 | $13K |
| D1351 | Sealant - per tooth | 302 | 66 | $12K |
| D1206 | Topical application of fluoride varnish | 341 | 341 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 131 | 131 | $7K |
| D0140 | Limited oral evaluation - problem focused | 45 | 44 | $2K |
| D0120 | Periodic oral evaluation - established patient | 65 | 65 | $2K |
| D1330 | 119 | 119 | $856.80 | |
| D0272 | Bitewings - two radiographic images | 49 | 49 | $787.68 |
| D0330 | Panoramic radiographic image | 16 | 16 | $735.20 |