DHDA WFD, LLC
NPI: 1205418258
· COLUMBUS, IN 47201
· General Practice Dentistry
· NPI assigned 04/28/2021
Provider Details
| Authorized Official | LAVELLE, PAUL (SOLE MEMBER OF DHDA PROVIDERCO PLLC) |
| Parent Organization | DHDA PROVIDERCO, PLLC |
| NPI Enumeration Date | 04/28/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
380 |
$6K |
| 2022 |
945 |
$18K |
| 2023 |
657 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
573 |
427 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
816 |
610 |
$13K |
| D0274 |
Bitewings - four radiographic images |
188 |
143 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
358 |
284 |
$3K |
| D1120 |
Prophylaxis - child |
31 |
26 |
$649.29 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
12 |
$82.70 |