CAPITOL HILL PEDIATRIC DENTISTRY
NPI: 1336691450
· WASHINGTON, DC 20003
· Pediatric Dentist
· NPI assigned 10/25/2016
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | MAJIDI, SIAMAK (CEO) |
| NPI Enumeration Date | 10/25/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
176 |
$7K |
| 2021 |
767 |
$27K |
| 2022 |
1,126 |
$35K |
| 2023 |
1,316 |
$44K |
| 2024 |
1,513 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
1,589 |
1,528 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
1,304 |
1,242 |
$40K |
| D1208 |
Topical application of fluoride, excluding varnish |
822 |
797 |
$18K |
| D0272 |
Bitewings - two radiographic images |
453 |
437 |
$16K |
| D1206 |
Topical application of fluoride varnish |
554 |
514 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
117 |
117 |
$8K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
59 |
50 |
$2K |