LPDG ROBIOUS ROAD PEDO PROFESSIONAL CORPORATION
NPI: 1477202679
· MIDLOTHIAN, VA 23113
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 03/23/2022
Provider Details
| Authorized Official | ROMERO, MARIE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 03/23/2022 |
Related Entities
Other providers sharing the same authorized official: ROMERO, MARIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
94 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
39 |
39 |
$610.12 |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$314.40 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$297.33 |