INNOVATION DENTAL PLLC
NPI: 1225264302
· MANASSAS, VA 20109
· General Practice Dentistry
· NPI assigned 06/03/2009
Provider Details
| Authorized Official | YANN, BORARATH (OWNER) |
| NPI Enumeration Date | 06/03/2009 |
Related Entities
Other providers sharing the same authorized official: YANN, BORARATH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$249.48 |
| 2021 |
15 |
$167.70 |
| 2022 |
119 |
$4K |
| 2023 |
176 |
$4K |
| 2024 |
113 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
74 |
73 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
79 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
128 |
114 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
101 |
55 |
$755.56 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$627.90 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$430.56 |
| D9630 |
|
15 |
15 |
$387.45 |