THE DENTAL SUITE, P.L.L.C.
NPI: 1508295213
· WASHINGTON, DC 20006
· General Practice Dentistry
· NPI assigned 11/03/2013
$315K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
135 |
$6K |
| 2021 |
2,208 |
$91K |
| 2022 |
1,982 |
$86K |
| 2023 |
1,802 |
$76K |
| 2024 |
1,356 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,759 |
1,717 |
$120K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,932 |
1,886 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
1,380 |
1,357 |
$43K |
| D0274 |
Bitewings - four radiographic images |
1,035 |
1,008 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
457 |
434 |
$31K |
| D0330 |
Panoramic radiographic image |
374 |
354 |
$24K |
| D0220 |
Intraoral - periapical first radiographic image |
454 |
422 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
68 |
52 |
$2K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$1K |