JASON F FAVAGEHI DDS PC
NPI: 1811040561
· ARLINGTON, VA 22209
· Dentist
· NPI assigned 01/18/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: FAVAGEHI, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
72 |
$3K |
| 2023 |
41 |
$0.00 |
| 2024 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
74 |
74 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
12 |
$569.22 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$488.40 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$466.44 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$188.89 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |