BRIGHT SMILE PEDIATRIC DENTIST PLLC
NPI: 1588898217
· FAIRFAX, VA 22031
· Exclusive Provider Organization
· NPI assigned 05/09/2009
Provider Details
| Authorized Official | LUNA, OSCAR (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 05/09/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
757 |
$19K |
| 2019 |
518 |
$14K |
| 2020 |
387 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
395 |
392 |
$13K |
| D1206 |
Topical application of fluoride varnish |
575 |
568 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
508 |
502 |
$10K |
| D9920 |
|
63 |
58 |
$4K |
| D0272 |
Bitewings - two radiographic images |
72 |
71 |
$1K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$404.88 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$375.72 |