BALLSTON METRO DENTAL
NPI: 1881910107
· ARLINGTON, VA 22203
· General Practice Dentistry
· NPI assigned 04/12/2010
Provider Details
| Authorized Official | SOLTANI, SHAHROKH (PRESIDENT) |
| Parent Organization | SHAHROKH SOLTANI |
| NPI Enumeration Date | 04/12/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
40 |
$2K |
| 2023 |
106 |
$11K |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
82 |
25 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
25 |
25 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |