TREMONT ROAD DENTAL SUPER, P.C.
NPI: 1366539959
· FALLS CHURCH, VA 22042
· Endodontist
· NPI assigned 10/06/2006
Provider Details
| Authorized Official | DARDEN, GAIL (MANAGER) |
| NPI Enumeration Date | 10/06/2006 |
Related Entities
Other providers sharing the same authorized official: DARDEN, GAIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
201 |
$2K |
| 2020 |
328 |
$8K |
| 2021 |
167 |
$348.88 |
| 2022 |
594 |
$4K |
| 2023 |
139 |
$5K |
| 2024 |
91 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
175 |
174 |
$8K |
| D1206 |
Topical application of fluoride varnish |
222 |
221 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
155 |
154 |
$5K |
| D0272 |
Bitewings - two radiographic images |
46 |
46 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
45 |
44 |
$696.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$208.00 |
| D8660 |
|
66 |
66 |
$0.00 |
| D8670 |
Periodic orthodontic treatment visit |
798 |
798 |
$0.00 |