JARJOURA, IBRAHIM
NPI: 1104834316
· GRAND BLANC, MI 48439
· General Practice Dentistry
· NPI assigned 08/03/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
60 |
$3K |
| 2020 |
44 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
75 |
75 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$465.80 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$143.08 |