JAMES F SELANDER DDS PC
NPI: 1760819551
· VIENNA, VA 22182
· Dental Clinic/Center
· NPI assigned 10/11/2013
$797.55
Total Medicaid Paid
Provider Details
| Authorized Official | EPSHTEYN, IRINA (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 10/11/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$797.55 |
| 2024 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
25 |
25 |
$797.55 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |