MB. DENTAL CARE PLLC
NPI: 1407456353
· BRISTOW, VA 20136
· Dentist
· NPI assigned 10/29/2020
Provider Details
| Authorized Official | MORRIS, TAMESHA (CEO) |
| Parent Organization | MB, DENTAL CARE PLLC |
| NPI Enumeration Date | 10/29/2020 |
Related Entities
Other providers sharing the same authorized official: MORRIS, TAMESHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
332 |
$9K |
| 2023 |
173 |
$2K |
| 2024 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
96 |
91 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
70 |
$2K |
| D0274 |
Bitewings - four radiographic images |
94 |
90 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
126 |
111 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
57 |
55 |
$602.60 |
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
25 |
$353.24 |
| D9994 |
|
25 |
25 |
$207.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
31 |
15 |
$0.00 |