VALDIVIASMILES
NPI: 1306628482
· BURKE, VA 22015
· General Practice Dentistry
· NPI assigned 10/16/2023
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | VALDIVIA, WALDO (DENTIST) |
| NPI Enumeration Date | 10/16/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
40 |
$0.00 |
| 2024 |
72 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9610 |
|
14 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
14 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |
| D9994 |
|
39 |
39 |
$0.00 |