FAR SOLTANIAN MGMT, LLC
NPI: 1912408832
· GLEN ALLEN, VA 23060
· Dentist
· NPI assigned 02/26/2018
Provider Details
| Authorized Official | CLEVINGER, ADA (OFFICE MANAGER) |
| NPI Enumeration Date | 02/26/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
243 |
$5K |
| 2019 |
53 |
$1K |
| 2020 |
49 |
$300.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
133 |
107 |
$3K |
| D1206 |
Topical application of fluoride varnish |
80 |
80 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$523.90 |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
41 |
$346.58 |
| D0230 |
Intraoral - periapical each additional radiographic image |
54 |
24 |
$324.22 |