PREMIER DENTAL ARTS, LLC
NPI: 1992117741
· FAIRFAX, VA 22033
· Preferred Provider Organization
· NPI assigned 05/28/2014
Provider Details
| Authorized Official | YU, FAN (DENTIST /OWNER) |
| NPI Enumeration Date | 05/28/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
219 |
$2K |
| 2019 |
237 |
$3K |
| 2020 |
583 |
$7K |
| 2021 |
1,301 |
$21K |
| 2022 |
1,550 |
$33K |
| 2023 |
1,868 |
$26K |
| 2024 |
970 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
783 |
768 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
875 |
872 |
$13K |
| D0274 |
Bitewings - four radiographic images |
584 |
574 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
1,268 |
1,129 |
$11K |
| D9994 |
|
1,673 |
1,510 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,046 |
849 |
$9K |
| D1206 |
Topical application of fluoride varnish |
239 |
237 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
102 |
84 |
$2K |
| D0330 |
Panoramic radiographic image |
54 |
51 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
76 |
68 |
$2K |
| D9630 |
|
28 |
28 |
$723.24 |