ASHBURNFARM DENTAL ARTS
NPI: 1487054128
· ASHBURN, VA 20147
· Advanced Practice Dental Therapist
· NPI assigned 08/31/2014
Provider Details
| Authorized Official | ASHOURIPOUR, DAN (PRESIDENT) |
| Parent Organization | LANDMARK SMILE DDS PC |
| NPI Enumeration Date | 08/31/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
15 |
$302.25 |
| 2022 |
28 |
$933.04 |
| 2023 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
40 |
40 |
$671.09 |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$564.20 |