ELENA BLACK, DDS, PHD, PC
NPI: 1982967832
· LYNCHBURG, VA 24501
· Dental Clinic/Center
· NPI assigned 06/15/2012
$264K
Total Medicaid Paid
Provider Details
| Authorized Official | BLACK, ELENA (PRESIDENT) |
| NPI Enumeration Date | 06/15/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
122 |
$58K |
| 2019 |
169 |
$70K |
| 2020 |
116 |
$46K |
| 2021 |
92 |
$37K |
| 2022 |
88 |
$40K |
| 2023 |
39 |
$12K |
| 2024 |
54 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
668 |
648 |
$262K |
| D8660 |
|
12 |
12 |
$2K |