2843 DENTAL LLC
NPI: 1417719725
· FALLS CHURCH, VA 22043
· General Practice Dentistry
· NPI assigned 01/23/2024
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BANAJI, GIRISH (OWNER) |
| NPI Enumeration Date | 01/23/2024 |
Related Entities
Other providers sharing the same authorized official: BANAJI, GIRISH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$0.00 |