SIMPLY STRAIGHT, P.C.
NPI: 1205220241
· ROANOKE, VA 24012
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/27/2015
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | NARDEA, HENRY (PRESIDENT) |
| NPI Enumeration Date | 03/27/2015 |
Related Entities
Other providers sharing the same authorized official: NARDEA, HENRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
720 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
25 |
24 |
$86K |
| D1110 |
Prophylaxis - adult |
148 |
147 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
162 |
151 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
168 |
168 |
$3K |
| D0274 |
Bitewings - four radiographic images |
103 |
103 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
43 |
43 |
$2K |
| D0330 |
Panoramic radiographic image |
33 |
26 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$765.70 |