PEDIATRIC DENTISTRY OF BURKE PC
NPI: 1235576745
· BURKE, VA 22015
· Pediatric Dentist
· NPI assigned 05/24/2013
$226K
Total Medicaid Paid
Provider Details
| Authorized Official | TREFF, DAVID (OWNER) |
| NPI Enumeration Date | 05/24/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,714 |
$42K |
| 2019 |
2,064 |
$49K |
| 2020 |
2,292 |
$55K |
| 2021 |
2,436 |
$59K |
| 2022 |
802 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,616 |
2,595 |
$85K |
| D1206 |
Topical application of fluoride varnish |
2,969 |
2,939 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
2,634 |
2,604 |
$52K |
| D0272 |
Bitewings - two radiographic images |
691 |
683 |
$14K |
| D1110 |
Prophylaxis - adult |
163 |
163 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
108 |
108 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
97 |
91 |
$3K |
| D0240 |
|
30 |
15 |
$368.10 |