PEDIATRIC DENTAL CARE
NPI: 1649641663
· NORTH POTOMAC, MD 20878
· Pediatric Dentist
· NPI assigned 10/16/2015
$318K
Total Medicaid Paid
Provider Details
| Authorized Official | PARYAVI, FARIBA (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 10/16/2015 |
Related Entities
Other providers sharing the same authorized official: PARYAVI, FARIBA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
565 |
$18K |
| 2019 |
731 |
$22K |
| 2020 |
662 |
$19K |
| 2021 |
1,062 |
$33K |
| 2022 |
1,333 |
$42K |
| 2023 |
1,677 |
$80K |
| 2024 |
1,792 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,108 |
2,067 |
$93K |
| D1206 |
Topical application of fluoride varnish |
2,624 |
2,572 |
$65K |
| D0120 |
Periodic oral evaluation - established patient |
2,035 |
1,996 |
$60K |
| D9248 |
|
312 |
269 |
$58K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
194 |
121 |
$26K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
145 |
143 |
$8K |
| D0272 |
Bitewings - two radiographic images |
202 |
196 |
$3K |
| D1351 |
Sealant - per tooth |
49 |
13 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
16 |
15 |
$691.20 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$649.89 |
| D1330 |
|
84 |
82 |
$492.00 |