NPI: 1780921742 · HERNDON, VA 20170 · Dentist · NPI assigned 01/10/2013
| Authorized Official | AYOUBI, IMAN (OWNER) |
| NPI Enumeration Date | 01/10/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 525 | $12K |
| 2019 | 423 | $9K |
| 2020 | 251 | $5K |
| 2021 | 338 | $7K |
| 2022 | 120 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 770 | 763 | $16K |
| D0120 | Periodic oral evaluation - established patient | 554 | 550 | $11K |
| D4346 | 134 | 134 | $6K | |
| D1120 | Prophylaxis - child | 32 | 32 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 79 | 57 | $793.78 |
| D0220 | Intraoral - periapical first radiographic image | 74 | 74 | $737.88 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $438.34 |