PEDIATRIC DENTAL GROUP,LLC
NPI: 1699426668
· GAITHERSBURG, MD 20886
· Dentist
· NPI assigned 01/12/2022
Provider Details
| Authorized Official | TOFIGH, AMIR (MEMBER) |
| NPI Enumeration Date | 01/12/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
57 |
$2K |
| 2023 |
637 |
$20K |
| 2024 |
915 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
370 |
370 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
479 |
479 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
148 |
148 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
123 |
123 |
$4K |
| D0272 |
Bitewings - two radiographic images |
152 |
152 |
$2K |
| D1351 |
Sealant - per tooth |
68 |
12 |
$2K |
| D1330 |
|
251 |
251 |
$2K |
| D0330 |
Panoramic radiographic image |
18 |
18 |
$827.10 |