SALEH, DEAYA
NPI: 1053054304
· BERWYN, IL 60402
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/14/2022
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
81 |
$2K |
| 2024 |
51 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
48 |
44 |
$979.93 |
| D1110 |
Prophylaxis - adult |
16 |
12 |
$806.65 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
24 |
15 |
$495.20 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$382.20 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$379.50 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
12 |
$96.73 |