CASPIAN DENTAL CENTER PLLC
NPI: 1063874220
· KATY, TX 77450
· General Practice Dentistry
· NPI assigned 03/25/2016
Provider Details
| Authorized Official | RASTEGARI, ALIEH (PRESIDENT/OWNER) |
| NPI Enumeration Date | 03/25/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
158 |
$2K |
| 2022 |
324 |
$3K |
| 2023 |
574 |
$5K |
| 2024 |
471 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0230 |
Intraoral - periapical each additional radiographic image |
630 |
232 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
172 |
135 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
303 |
252 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
212 |
183 |
$2K |
| D1120 |
Prophylaxis - child |
65 |
53 |
$2K |
| D0603 |
|
145 |
125 |
$0.03 |