BETHESDA CHEVY CHASE DENTAL CARE
NPI: 1992138697
· CHEVY CHASE, MD 20815
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/16/2013
Provider Details
| Authorized Official | MANESH, BEN (OWNER / OPERATOR) |
| NPI Enumeration Date | 08/16/2013 |
Related Entities
Other providers sharing the same authorized official: MANESH, BEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
606 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
120 |
119 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
127 |
118 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
219 |
176 |
$2K |
| D1206 |
Topical application of fluoride varnish |
82 |
82 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$743.76 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$689.25 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$381.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
15 |
$157.44 |