NPI: 1891924239 · CHARLOTTESVILLE, VA 22901 · Pediatric Dentist · NPI assigned 07/07/2009
Authorized official THOMPSON, DONNA controls 20+ related entities in our dataset. Read more
| Authorized Official | THOMPSON, DONNA (OFFICE MANAGER) |
| NPI Enumeration Date | 07/07/2009 |
Other providers sharing the same authorized official: THOMPSON, DONNA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12,716 | $392K |
| 2019 | 10,663 | $286K |
| 2020 | 5,624 | $143K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 4,886 | 4,883 | $156K |
| D0120 | Periodic oral evaluation - established patient | 5,226 | 5,222 | $99K |
| D1206 | Topical application of fluoride varnish | 3,279 | 3,277 | $64K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 682 | 429 | $56K |
| D1351 | Sealant - per tooth | 1,715 | 597 | $51K |
| D7140 | Extraction, erupted tooth or exposed root | 738 | 458 | $49K |
| D1208 | Topical application of fluoride, excluding varnish | 2,383 | 2,382 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 675 | 484 | $47K |
| D1110 | Prophylaxis - adult | 870 | 869 | $37K |
| D9920 | 540 | 520 | $37K | |
| D9630 | 1,683 | 1,647 | $32K | |
| D0272 | Bitewings - two radiographic images | 1,654 | 1,654 | $32K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 784 | 695 | $26K |
| D1354 | 762 | 292 | $21K | |
| D0274 | Bitewings - four radiographic images | 587 | 587 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 462 | 462 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 930 | 910 | $10K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 74 | 25 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | 627 | 264 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 125 | 124 | $5K |
| D0140 | Limited oral evaluation - problem focused | 84 | 84 | $2K |
| D9248 | 16 | 13 | $2K | |
| D3120 | 82 | 63 | $1K | |
| D0330 | Panoramic radiographic image | 27 | 27 | $1K |
| D0240 | 69 | 52 | $797.55 | |
| D1999 | 43 | 42 | $0.00 |