NPI: 1568110286 · HERNDON, VA 20170 · Dentist · NPI assigned 03/11/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 239 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 78 | 41 | $5K |
| D1110 | Prophylaxis - adult | 36 | 31 | $2K |
| D0120 | Periodic oral evaluation - established patient | 71 | 66 | $1K |
| D0274 | Bitewings - four radiographic images | 30 | 24 | $789.36 |
| D1208 | Topical application of fluoride, excluding varnish | 24 | 24 | $324.36 |