SALAMA & AL-KHALAYLEH DENTAL CORPORATION
NPI: 1053440115
· BAKERSFIELD, CA 93306
· General Practice Dentistry
· NPI assigned 03/05/2007
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | SALAMA, WASFI (PRESIDENT) |
| NPI Enumeration Date | 03/05/2007 |
Related Entities
Other providers sharing the same authorized official: SALAMA, WASFI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,116 |
$54K |
| 2019 |
2,270 |
$37K |
| 2020 |
658 |
$13K |
| 2021 |
134 |
$4K |
| 2022 |
886 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
889 |
887 |
$51K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,876 |
1,044 |
$20K |
| D1120 |
Prophylaxis - child |
618 |
618 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
406 |
405 |
$14K |
| D0210 |
Intraoral - complete series of radiographic images |
191 |
190 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
561 |
561 |
$5K |
| D1351 |
Sealant - per tooth |
171 |
37 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
64 |
57 |
$2K |
| D0272 |
Bitewings - two radiographic images |
200 |
200 |
$2K |
| D0330 |
Panoramic radiographic image |
45 |
45 |
$1K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$802.80 |