NPI: 1831824317 · HERNDON, VA 20170 · Dental Clinic/Center · NPI assigned 07/19/2022
| Authorized Official | GHATRI, ALI (PRESIDENT) |
| NPI Enumeration Date | 07/19/2022 |
Other providers sharing the same authorized official: GHATRI, ALI
| Provider | City | State | Total Paid |
|---|---|---|---|
| LET'S SMILE OF FAIRFAX PLLC | FAIRFAX | VA | $384K |
| LET'S SMILE OF CENTREVILLE, PLLC | CENTREVILLE | VA | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 5,270 | $65K |
| 2024 | 3,853 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,808 | 1,799 | $19K | |
| D1206 | 2,054 | 2,044 | $13K | |
| D0120 | 1,889 | 1,880 | $12K | |
| D0272 | 524 | 520 | $4K | |
| D9230 | 394 | 384 | $3K | |
| D1110 | 182 | 182 | $3K | |
| D0230 | 899 | 429 | $2K | |
| D0140 | 123 | 118 | $2K | |
| D0220 | 612 | 608 | $2K | |
| D2392 | 176 | 114 | $2K | |
| D1351 | 174 | 63 | $2K | |
| D0150 | 80 | 80 | $1K | |
| D0240 | 86 | 44 | $0.00 | |
| D9310 | 13 | 13 | $0.00 | |
| D2391 | 66 | 38 | $0.00 | |
| D0274 | 43 | 43 | $0.00 |