NPI: 1366539959 · FALLS CHURCH, VA 22042 · Endodontist · NPI assigned 10/06/2006
| Authorized Official | DARDEN, GAIL (MANAGER) |
| NPI Enumeration Date | 10/06/2006 |
Other providers sharing the same authorized official: DARDEN, GAIL
| Provider | City | State | Total Paid |
|---|---|---|---|
| COLUMBIA RIVER DENTAL, P.C. | WASHINGTON | DC | $6.91M |
| TREMONT ROAD DENTAL SUPER, P.C. | COLONIAL HEIGHTS | VA | $106K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 201 | $2K |
| 2020 | 328 | $8K |
| 2021 | 167 | $348.88 |
| 2022 | 594 | $4K |
| 2023 | 139 | $5K |
| 2024 | 91 | $3K |
| Code | Description | Claims | Bene. Records | 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 |