NPI: 1508110057 · SOUTH BOSTON, VA 24592 · Dentist · NPI assigned 11/06/2012
Authorized official HAZELWOOD, CECIL controls 12+ related entities in our dataset. Read more
| Authorized Official | HAZELWOOD, CECIL (MANAGER DHG) |
| NPI Enumeration Date | 11/06/2012 |
Other providers sharing the same authorized official: HAZELWOOD, CECIL
| Provider | City | State | Total Paid |
|---|---|---|---|
| DOMINION HEALTH MEDICAL ASSOCIATES LTD | SOUTH BOSTON | VA | $1.35M |
| DOMINION HEALTH MEDICAL ASSOC | SOUTH BOSTON | VA | $1.11M |
| HALIFAX HEART CENTER PC | SOUTH BOSTON | VA | $905K |
| DOMINION HEALTH MEDICAL ASSOC | SOUTH BOSTON | VA | $363K |
| DOMINION HEALTH MEDICAL ASSOC. | SOUTH BOSTON | VA | $299K |
| DOMINION HEALTH MEDICAL ASSOC | CHASE CITY | VA | $258K |
| DOMINION HEALTH MEDICAL ASSOC. | SOUTH BOSTON | VA | $230K |
| DOMINION HEALTH MEDICAL ASSOCIATES LTD | SOUTH BOSTON | VA | $113K |
| DOMINION HEALTH MEDICAL ASSOC | CLARKSVILLE | VA | $103K |
| DOMINION MEDICAL HEALTH ASSOC | SOUTH BOSTON | VA | $66K |
| DOMINION HEALTH MEDICAL ASSOC | SOUTH BOSTON | VA | $38K |
| DOMINION HEALTH MEDICAL ASSOC. | SOUTH BOSTON | VA | $17K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,149 | $147K |
| 2019 | 4,819 | $137K |
| 2020 | 3,221 | $93K |
| 2021 | 3,141 | $90K |
| 2022 | 2,718 | $92K |
| 2023 | 2,761 | $54K |
| 2024 | 1,449 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 4,548 | 4,524 | $139K |
| D1208 | Topical application of fluoride, excluding varnish | 5,859 | 5,824 | $110K |
| D0120 | Periodic oral evaluation - established patient | 4,731 | 4,696 | $85K |
| D1110 | Prophylaxis - adult | 1,863 | 1,847 | $74K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 550 | 400 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 536 | 436 | $36K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,114 | 1,058 | $35K |
| D0272 | Bitewings - two radiographic images | 1,657 | 1,644 | $31K |
| D0274 | Bitewings - four radiographic images | 807 | 801 | $19K |
| D0140 | Limited oral evaluation - problem focused | 660 | 652 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 88 | 55 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 563 | 552 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 147 | 147 | $5K |
| D0330 | Panoramic radiographic image | 54 | 54 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 32 | 26 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | 37 | 37 | $725.40 |
| D9110 | 12 | 12 | $0.00 |