NPI: 1669779518 · MOUNT AIRY, MD 21771 · Dentist · NPI assigned 02/11/2011
| Authorized Official | CLESNER, SONIA (DENTIST/OWNER) |
| NPI Enumeration Date | 02/11/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 64 | $2K |
| 2019 | 14 | $407.12 |
| 2020 | 12 | $299.04 |
| 2022 | 17 | $445.34 |
| 2023 | 1,004 | $50K |
| 2024 | 294 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 504 | 490 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 309 | 295 | $17K |
| D0330 | Panoramic radiographic image | 172 | 171 | $8K |
| D0140 | Limited oral evaluation - problem focused | 163 | 155 | $8K |
| D0120 | Periodic oral evaluation - established patient | 103 | 101 | $3K |
| D0272 | Bitewings - two radiographic images | 97 | 95 | $2K |
| D1120 | Prophylaxis - child | 32 | 32 | $1K |
| D1206 | Topical application of fluoride varnish | 25 | 25 | $623.00 |