EXCEL DENTISTRY
NPI: 1073789913
· ST LOUIS PARK, MN 55426
· General Practice Dentistry
· NPI assigned 04/30/2008
Provider Details
| Authorized Official | ALASSY, HATEM (TREASURER) |
| NPI Enumeration Date | 04/30/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
316 |
$295.99 |
| 2019 |
67 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
120 |
120 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
225 |
224 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$107.60 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |