PROFESSIONAL DENTAL ASSOCIATES LLC
NPI: 1184366866
· BEL AIR, MD 21014
· General Practice Dentistry
· NPI assigned 04/12/2022
Provider Details
| Authorized Official | SHIELDS, IRIS (OWNER/DENTIST) |
| NPI Enumeration Date | 04/12/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
670 |
$22K |
| 2024 |
369 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
288 |
286 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
195 |
191 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
54 |
54 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
276 |
259 |
$3K |
| D0330 |
Panoramic radiographic image |
48 |
48 |
$2K |
| D1206 |
Topical application of fluoride varnish |
61 |
57 |
$1K |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$577.68 |
| D0230 |
Intraoral - periapical each additional radiographic image |
91 |
85 |
$569.84 |