MINERAL DENTAL CARE
NPI: 1578005492
· MINERAL, VA 23117
· Dental Clinic/Center
· NPI assigned 11/09/2016
Provider Details
| Authorized Official | ARAFA, MOHAMED (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 11/09/2016 |
Related Entities
Other providers sharing the same authorized official: ARAFA, MOHAMED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
171 |
$7K |
| 2023 |
531 |
$11K |
| 2024 |
175 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
60 |
29 |
$4K |
| D0330 |
Panoramic radiographic image |
51 |
51 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
96 |
96 |
$3K |
| D1206 |
Topical application of fluoride varnish |
249 |
249 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
161 |
161 |
$2K |
| D1120 |
Prophylaxis - child |
122 |
122 |
$1K |
| D1110 |
Prophylaxis - adult |
55 |
55 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
27 |
12 |
$443.32 |
| D9630 |
|
44 |
44 |
$238.44 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$174.36 |