NPI: 1427550318 · PETERSBURG, VA 23805 · General Practice Dentistry · NPI assigned 03/06/2018
| Authorized Official | NGUYEN, THUY-VAN (PRESIDENT) |
| NPI Enumeration Date | 03/06/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 371 | $10K |
| 2020 | 999 | $21K |
| 2021 | 678 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 633 | 593 | $17K |
| D1110 | Prophylaxis - adult | 305 | 293 | $13K |
| D0330 | Panoramic radiographic image | 546 | 512 | $10K |
| D0274 | Bitewings - four radiographic images | 165 | 157 | $3K |
| D0120 | Periodic oral evaluation - established patient | 49 | 43 | $705.25 |
| D7140 | Extraction, erupted tooth or exposed root | 125 | 39 | $587.00 |
| D9630 | 225 | 202 | $0.00 |