COLUMBIA HEIGHTS DENTAL CENTER, PLC
NPI: 1619380268
· ARLINGTON, VA 22204
· General Practice Dentistry
· NPI assigned 06/10/2014
$221.65
Total Medicaid Paid
Provider Details
| Authorized Official | SANGID, MAHER (MANAGER) |
| NPI Enumeration Date | 06/10/2014 |
Related Entities
Other providers sharing the same authorized official: SANGID, MAHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$221.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$221.65 |