FDC-DDS PC
NPI: 1669779518
· MOUNT AIRY, MD 21771
· Dentist
· NPI assigned 02/11/2011
Provider Details
| Authorized Official | CLESNER, SONIA (DENTIST/OWNER) |
| NPI Enumeration Date | 02/11/2011 |
Monthly Spending Trend
Yearly Breakdown
| 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 |
Billing Codes
| 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 |