NPI: 1801667563 · DUMFRIES, VA 22026 · Dental Clinic/Center · NPI assigned 01/11/2024
| Authorized Official | NEIBERT, SANDRA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/11/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 248 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 52 | 52 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 31 | 31 | $0.00 |
| D9994 | 54 | 54 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 26 | 26 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 34 | 31 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 38 | 38 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $0.00 |