ADDERLEY DENTAL GROUP
NPI: 1588048102
· WASHINGTON, DC 20012
· Dentist
· NPI assigned 07/14/2015
$224K
Total Medicaid Paid
Provider Details
| Authorized Official | ADDERLEY, TONI (OWNER) |
| NPI Enumeration Date | 07/14/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
539 |
$20K |
| 2019 |
723 |
$25K |
| 2020 |
811 |
$27K |
| 2021 |
1,277 |
$45K |
| 2022 |
1,219 |
$41K |
| 2023 |
1,051 |
$34K |
| 2024 |
916 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,861 |
1,818 |
$105K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,332 |
2,280 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
1,752 |
1,711 |
$45K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
193 |
187 |
$11K |
| D0274 |
Bitewings - four radiographic images |
194 |
191 |
$6K |
| D1120 |
Prophylaxis - child |
74 |
73 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
32 |
28 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
98 |
93 |
$1K |