KHAN, ADIHA
NPI: 1114442787
· LAKE JACKSON, TX 77566
· Dentist
· NPI assigned 08/04/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
559 |
$2K |
| 2024 |
577 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
126 |
12 |
$875.44 |
| D0120 |
Periodic oral evaluation - established patient |
98 |
60 |
$562.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
258 |
137 |
$549.37 |
| D0220 |
Intraoral - periapical first radiographic image |
211 |
127 |
$533.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
176 |
105 |
$507.15 |
| D1120 |
Prophylaxis - child |
51 |
33 |
$330.84 |
| D0274 |
Bitewings - four radiographic images |
47 |
30 |
$294.11 |
| D1110 |
Prophylaxis - adult |
18 |
13 |
$137.20 |
| D0272 |
Bitewings - two radiographic images |
17 |
14 |
$35.07 |
| D0601 |
|
95 |
56 |
$0.00 |
| D0603 |
|
39 |
25 |
$0.00 |