DENTAL SERVICES SE VIRGINIA
NPI: 1770012163
· VIRGINIA BEACH, VA 23452
· Dental Clinic/Center
· NPI assigned 06/08/2017
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
459 |
$12K |
| 2022 |
705 |
$33K |
| 2023 |
351 |
$9K |
| 2024 |
220 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9410 |
|
864 |
796 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
256 |
189 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
492 |
488 |
$6K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
24 |
14 |
$322.79 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
13 |
$313.04 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
17 |
$178.88 |
| D9440 |
|
25 |
24 |
$0.00 |