NPI: 1043774573 · PELHAM, NH 03076 · General Practice Dentistry · NPI assigned 01/29/2019
Authorized official ALKHOURY, HOUSSAM controls 20+ related entities in our dataset. Read more
| Authorized Official | ALKHOURY, HOUSSAM (OWNER) |
| NPI Enumeration Date | 01/29/2019 |
Other providers sharing the same authorized official: ALKHOURY, HOUSSAM
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 7,211 | $255K |
| 2020 | 11,108 | $327K |
| 2021 | 14,192 | $404K |
| 2022 | 11,280 | $433K |
| 2023 | 12,916 | $563K |
| 2024 | 11,318 | $523K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3,138 | 1,933 | $333K |
| D1120 | Prophylaxis - child | 8,434 | 8,125 | $331K |
| D0120 | Periodic oral evaluation - established patient | 10,795 | 10,482 | $305K |
| D8670 | Periodic orthodontic treatment visit | 956 | 916 | $252K |
| D1110 | Prophylaxis - adult | 3,906 | 3,777 | $210K |
| D1206 | Topical application of fluoride varnish | 9,748 | 9,445 | $198K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2,073 | 1,450 | $189K |
| D0274 | Bitewings - four radiographic images | 3,708 | 3,611 | $130K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3,171 | 2,568 | $96K |
| D0272 | Bitewings - two radiographic images | 2,466 | 2,395 | $65K |
| D0140 | Limited oral evaluation - problem focused | 1,441 | 1,305 | $62K |
| D0330 | Panoramic radiographic image | 1,094 | 1,053 | $58K |
| D0150 | Comprehensive oral evaluation - new or established patient | 945 | 864 | $50K |
| D0220 | Intraoral - periapical first radiographic image | 3,896 | 3,668 | $47K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 168 | 126 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,350 | 2,946 | $35K |
| D1208 | Topical application of fluoride, excluding varnish | 1,540 | 1,481 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | 316 | 185 | $30K |
| D1351 | Sealant - per tooth | 744 | 265 | $24K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 82 | 66 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 46 | 31 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 36 | 28 | $3K |
| D9310 | 14 | 14 | $756.00 | |
| D3120 | 21 | 12 | $617.70 | |
| D8660 | 12 | 12 | $248.00 | |
| D1999 | 5,925 | 5,004 | $0.00 |