RED STAR DENTAL
NPI: 1285924100
· YORKTOWN, VA 23693
· General Practice Dentistry
· NPI assigned 04/12/2011
Provider Details
| Authorized Official | JOSEPH, HARRY (MANAGER) |
| NPI Enumeration Date | 04/12/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
57 |
$755.05 |
| 2021 |
426 |
$9K |
| 2022 |
757 |
$15K |
| 2023 |
602 |
$13K |
| 2024 |
115 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
531 |
529 |
$15K |
| D1120 |
Prophylaxis - child |
324 |
323 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
636 |
634 |
$9K |
| D1351 |
Sealant - per tooth |
52 |
12 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$658.56 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$459.16 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$280.56 |
| D0601 |
|
148 |
146 |
$0.00 |
| D0602 |
|
229 |
229 |
$0.00 |