PEDIATRIC DENTAL CARE, LLC
NPI: 1639554876
· FREDERICK, MD 21701
· Pediatric Dentist
· NPI assigned 07/29/2015
Provider Details
| Authorized Official | PARYAVI, FARIBA (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 07/29/2015 |
Related Entities
Other providers sharing the same authorized official: PARYAVI, FARIBA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$623.00 |
| 2020 |
111 |
$3K |
| 2021 |
278 |
$9K |
| 2022 |
567 |
$17K |
| 2023 |
704 |
$23K |
| 2024 |
154 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
558 |
541 |
$24K |
| D1206 |
Topical application of fluoride varnish |
807 |
787 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
382 |
370 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
55 |
$3K |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$409.74 |
| D1330 |
|
12 |
12 |
$72.00 |