NPI: 1205840956 · ROANOKE, VA 24014 · Dental Clinic/Center · NPI assigned 07/28/2006
Authorized official GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more
| Authorized Official | GRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT) |
| Parent Organization | CARILION MEDICAL CENTER |
| NPI Enumeration Date | 07/28/2006 |
Other providers sharing the same authorized official: GRISETTI, NICOLE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,136 | $846K |
| 2019 | 25,677 | $889K |
| 2020 | 22,073 | $767K |
| 2021 | 23,941 | $892K |
| 2022 | 26,130 | $1.08M |
| 2023 | 30,412 | $654K |
| 2024 | 15,695 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 6,177 | 1,979 | $727K |
| D7140 | Extraction, erupted tooth or exposed root | 12,995 | 3,401 | $669K |
| D1120 | Prophylaxis - child | 18,260 | 18,019 | $505K |
| D8670 | Periodic orthodontic treatment visit | 1,363 | 1,336 | $463K |
| D0120 | Periodic oral evaluation - established patient | 22,114 | 21,802 | $346K |
| D1206 | Topical application of fluoride varnish | 19,970 | 19,643 | $316K |
| D1110 | Prophylaxis - adult | 8,523 | 8,372 | $286K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,695 | 2,359 | $264K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3,534 | 2,124 | $205K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5,998 | 5,665 | $153K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5,476 | 4,934 | $150K |
| D9999 | Unspecified adjunctive procedure, by report | 1,048 | 1,025 | $150K |
| D0274 | Bitewings - four radiographic images | 6,342 | 6,243 | $125K |
| D0140 | Limited oral evaluation - problem focused | 5,386 | 4,705 | $101K |
| D1351 | Sealant - per tooth | 3,640 | 1,301 | $89K |
| D0272 | Bitewings - two radiographic images | 4,573 | 4,495 | $84K |
| D1208 | Topical application of fluoride, excluding varnish | 3,966 | 3,964 | $81K |
| D3120 | 4,233 | 1,618 | $70K | |
| D0230 | Intraoral - periapical each additional radiographic image | 7,874 | 2,525 | $66K |
| D0210 | Intraoral - complete series of radiographic images | 5,366 | 3,048 | $64K |
| D0240 | 5,548 | 3,032 | $61K | |
| D0220 | Intraoral - periapical first radiographic image | 6,859 | 6,229 | $58K |
| D0330 | Panoramic radiographic image | 1,298 | 1,102 | $48K |
| D1354 | 2,702 | 953 | $33K | |
| D8660 | 71 | 71 | $11K | |
| D2330 | 26 | 12 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | 15 | 15 | $302.25 |
| D9310 | 12 | 12 | $0.00 |