JAMA, SUAD
NPI: 1376892125
· MANASSAS PARK, VA 20111
· General Practice Dentistry
· NPI assigned 09/06/2012
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
165 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$820.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
34 |
$788.66 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$717.60 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$528.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$384.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
37 |
$384.00 |