MODEL DENTAL CLINIC
NPI: 1548392152
· COLUMBIA, MD 21046
· General Practice Dentistry
· NPI assigned 03/09/2007
Provider Details
| Authorized Official | ATAPOUR, ROGHIEH (OWNER DENTIST) |
| NPI Enumeration Date | 03/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$566.50 |
| 2023 |
539 |
$29K |
| 2024 |
123 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
233 |
229 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
118 |
117 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
82 |
81 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
150 |
149 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
12 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
65 |
65 |
$2K |