MINA ARMANIOUS, DDS, PLLC
NPI: 1679284970
· ASHBURN, VA 20147
· Dental Clinic/Center
· NPI assigned 12/07/2022
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ARMANIOUS, MINA (DDS/OWNER) |
| NPI Enumeration Date | 12/07/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
59 |
$0.00 |
| 2024 |
666 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
114 |
45 |
$0.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$0.00 |
| D4341 |
|
42 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$0.00 |
| D2950 |
|
57 |
28 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
14 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
94 |
94 |
$0.00 |
| D9994 |
|
106 |
105 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
59 |
59 |
$0.00 |
| D3120 |
|
46 |
17 |
$0.00 |
| D9630 |
|
68 |
67 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
49 |
44 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$0.00 |