NPI: 1245376466 · MANASSAS PARK, VA 20111 · General Practice Dentistry · NPI assigned 01/29/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 383 | $9K |
| 2019 | 219 | $3K |
| 2020 | 245 | $4K |
| 2021 | 550 | $11K |
| 2022 | 1,123 | $29K |
| 2023 | 1,145 | $11K |
| 2024 | 463 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 530 | 512 | $17K |
| D0120 | Periodic oral evaluation - established patient | 790 | 764 | $11K |
| D0220 | Intraoral - periapical first radiographic image | 984 | 936 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 488 | 470 | $8K |
| D0274 | Bitewings - four radiographic images | 425 | 410 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 717 | 688 | $6K |
| D1120 | Prophylaxis - child | 153 | 153 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 41 | 41 | $2K |