PREMIUM FAMILY DENTISTRY
NPI: 1316640030
· GREENBELT, MD 20770
· General Practice Dentistry
· NPI assigned 03/22/2023
Provider Details
| Authorized Official | JORDAN, NARGIS (OWNER/DENTIST) |
| NPI Enumeration Date | 03/22/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
146 |
$5K |
| 2024 |
200 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
100 |
100 |
$7K |
| D1206 |
Topical application of fluoride varnish |
167 |
167 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$684.00 |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
55 |
$650.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$78.72 |