TOMA, DAHA
NPI: 1093385866
· LIVONIA, MI 48152
· Dentist
· NPI assigned 06/25/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
476 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
86 |
13 |
$3K |
| D1110 |
Prophylaxis - adult |
49 |
49 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
26 |
26 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
57 |
57 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
34 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
81 |
81 |
$1K |
| D0274 |
Bitewings - four radiographic images |
35 |
35 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
108 |
58 |
$994.70 |