202 DENTAL PLLC
NPI: 1760065338
· WASHINGTON, DC 20002
· Dental Clinic/Center
· NPI assigned 05/03/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$721.94 |
| 2023 |
27 |
$851.00 |
| 2024 |
72 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
61 |
59 |
$1K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$962.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$721.94 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$420.00 |