WOODBRIDGE DENTAL GROUP PLLC
NPI: 1861193997
· WOODBRIDGE, VA 22191
· Dental Clinic/Center
· NPI assigned 03/15/2023
Provider Details
| Authorized Official | KALLAS, GEITH (OWNER) |
| NPI Enumeration Date | 03/15/2023 |
Related Entities
Other providers sharing the same authorized official: KALLAS, GEITH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
484 |
$2K |
| 2024 |
559 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
358 |
349 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
63 |
$610.50 |
| D0274 |
Bitewings - four radiographic images |
145 |
140 |
$430.56 |
| D0120 |
Periodic oral evaluation - established patient |
332 |
331 |
$26.20 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
60 |
28 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
34 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$0.00 |