NPI: 1457720302 · DULLES, VA 20166 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,511 | $42K |
| 2019 | 1,966 | $51K |
| 2020 | 2,468 | $71K |
| 2021 | 3,353 | $103K |
| 2022 | 3,484 | $120K |
| 2023 | 3,906 | $88K |
| 2024 | 2,069 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 3,900 | 3,841 | $108K | |
| D1208 | 4,533 | 4,471 | $78K | |
| D0120 | 3,945 | 3,891 | $65K | |
| D2391 | 863 | 482 | $56K | |
| D2392 | 694 | 425 | $53K | |
| D9230 | 1,643 | 1,431 | $46K | |
| D0272 | 1,368 | 1,345 | $23K | |
| D1110 | 371 | 369 | $14K | |
| D0150 | 411 | 407 | $12K | |
| D1351 | 330 | 122 | $10K | |
| D0274 | 157 | 155 | $4K | |
| D0220 | 388 | 366 | $3K | |
| D3120 | 58 | 40 | $813.62 | |
| D0230 | 96 | 51 | $801.45 |