VIRGINIA BEACH FAMILY DENTAL PLLC
NPI: 1801677331
· VIRGINIA BEACH, VA 23455
· General Practice Dentistry
· NPI assigned 10/10/2023
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MEDINA, MARITZA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/10/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,054 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
53 |
41 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
67 |
67 |
$0.00 |
| D9995 |
|
92 |
88 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
235 |
192 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
95 |
95 |
$0.00 |
| D9994 |
|
47 |
44 |
$0.00 |
| D9920 |
|
244 |
210 |
$0.00 |
| D9630 |
|
42 |
41 |
$0.00 |
| D7880 |
|
29 |
29 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$0.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$0.00 |
| D1354 |
|
108 |
60 |
$0.00 |