WASSOUF, GABRIEL
NPI: 1013071299
· PORTSMOUTH, RI 02871
· Dentist
· NPI assigned 12/21/2006
$136K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
519 |
$20K |
| 2019 |
426 |
$17K |
| 2020 |
429 |
$17K |
| 2021 |
605 |
$24K |
| 2022 |
517 |
$22K |
| 2023 |
518 |
$22K |
| 2024 |
327 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,767 |
1,721 |
$95K |
| D0120 |
Periodic oral evaluation - established patient |
1,107 |
1,088 |
$26K |
| D0274 |
Bitewings - four radiographic images |
193 |
191 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
235 |
233 |
$7K |
| D1120 |
Prophylaxis - child |
26 |
25 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$201.00 |