ELITE DENTAL TAKOMA PARK
NPI: 1679819098
· WASHINGTON, DC 20012
· General Practice Dentistry
· NPI assigned 12/13/2012
Provider Details
| Authorized Official | WALKER, KHALFANI (OWNER/DENTIST) |
| NPI Enumeration Date | 12/13/2012 |
Related Entities
Other providers sharing the same authorized official: WALKER, KHALFANI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
190 |
$10K |
| 2019 |
776 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
192 |
192 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
253 |
253 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
210 |
210 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
36 |
24 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
135 |
132 |
$2K |
| D0274 |
Bitewings - four radiographic images |
48 |
48 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$914.00 |
| D4910 |
|
12 |
12 |
$840.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$658.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
41 |
39 |
$572.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$550.00 |