SEYEDSALARI, LEILA
NPI: 1063790129
· GWYNN OAK, MD 21207
· General Practice Dentistry
· NPI assigned 07/22/2011
$805.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
161 |
$805.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
24 |
24 |
$418.40 |
| D1110 |
Prophylaxis - adult |
15 |
14 |
$160.00 |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
35 |
$72.90 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
18 |
$66.00 |
| D0274 |
Bitewings - four radiographic images |
30 |
24 |
$66.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
22 |
14 |
$22.20 |