PRO DENTAL GROUP PC
NPI: 1851089841
· LEVITTOWN, PA 19057
· Dentist
· NPI assigned 04/27/2023
Provider Details
| Authorized Official | BADALOVA, KHAMIDA (OWNER / DENTIST) |
| NPI Enumeration Date | 04/27/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
343 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
88 |
87 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
103 |
99 |
$875.64 |
| D0120 |
Periodic oral evaluation - established patient |
45 |
45 |
$828.30 |
| D0230 |
Intraoral - periapical each additional radiographic image |
79 |
78 |
$620.53 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$543.03 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$258.91 |