VIRGINIA PEDIATRIC DENTISTRY PC
NPI: 1912382243
· KESWICK, VA 22947
· Dental Clinic/Center
· NPI assigned 07/28/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
651 |
$58K |
| 2019 |
137 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
314 |
51 |
$42K |
| D7140 |
Extraction, erupted tooth or exposed root |
158 |
26 |
$11K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
66 |
13 |
$4K |
| D9310 |
|
32 |
32 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
35 |
13 |
$2K |
| D9630 |
|
98 |
98 |
$2K |
| D9222 |
|
13 |
13 |
$832.00 |
| D9612 |
|
13 |
13 |
$516.62 |
| D0240 |
|
32 |
16 |
$392.64 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$257.14 |