ESTAFANOUS PC
NPI: 1912637562
· WOODBRIDGE, VA 22193
· Clinic/Center
· NPI assigned 06/15/2022
Provider Details
| Authorized Official | ESTAFANOUS, EMAD (PROSTHODONTIST) |
| NPI Enumeration Date | 06/15/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
375 |
$7K |
| 2023 |
526 |
$6K |
| 2024 |
46 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
390 |
353 |
$3K |
| D1110 |
Prophylaxis - adult |
94 |
91 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
323 |
190 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
45 |
$1K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$556.20 |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$0.00 |