A, NOUNEH DDS INC.
NPI: 1093910895
· PACOIMA, CA 91331
· General Practice Dentistry
· NPI assigned 06/20/2007
Provider Details
| Authorized Official | NOUNEH, AYMAN (GENERAL DENTIST) |
| NPI Enumeration Date | 06/20/2007 |
Related Entities
Other providers sharing the same authorized official: NOUNEH, AYMAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
169 |
$5K |
| 2019 |
322 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
64 |
64 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
39 |
15 |
$2K |
| D4910 |
|
27 |
27 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
50 |
42 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
44 |
38 |
$2K |
| D1206 |
Topical application of fluoride varnish |
123 |
123 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
119 |
27 |
$546.75 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$360.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$237.60 |