INTERNATIONAL DENTAL ASSOC. INC
NPI: 1912142886
· WASHINGTON, DC 20009
· General Practice Dentistry
· NPI assigned 12/08/2008
$215K
Total Medicaid Paid
Provider Details
| Authorized Official | BUFORD, EDWARD (DENTIST) |
| NPI Enumeration Date | 12/08/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
667 |
$156K |
| 2019 |
17 |
$1K |
| 2020 |
306 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5214 |
|
92 |
92 |
$93K |
| D5213 |
|
87 |
86 |
$76K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
343 |
334 |
$14K |
| D0210 |
Intraoral - complete series of radiographic images |
189 |
186 |
$13K |
| D4355 |
|
100 |
100 |
$10K |
| D0330 |
Panoramic radiographic image |
130 |
124 |
$8K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$759.00 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$527.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
15 |
$256.00 |