EYE STREET DENTAL CENTER
NPI: 1821450172
· WASHINGTON, DC 20006
· General Practice Dentistry
· NPI assigned 03/25/2016
$177K
Total Medicaid Paid
Provider Details
| Authorized Official | MOGHARBEL, TAREK (OWNER/DENTIST) |
| NPI Enumeration Date | 03/25/2016 |
Related Entities
Other providers sharing the same authorized official: MOGHARBEL, TAREK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
673 |
$21K |
| 2022 |
1,177 |
$44K |
| 2023 |
1,548 |
$54K |
| 2024 |
1,478 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
908 |
893 |
$60K |
| D0274 |
Bitewings - four radiographic images |
632 |
622 |
$23K |
| D0230 |
Intraoral - periapical each additional radiographic image |
777 |
764 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
880 |
863 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
248 |
239 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
924 |
903 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
355 |
355 |
$11K |
| D0330 |
Panoramic radiographic image |
152 |
152 |
$10K |