DIMA KHALIFE DDS, PLC
NPI: 1114647088
· FERNDALE, MI 48220
· Dental Clinic/Center
· NPI assigned 08/31/2022
Provider Details
| Authorized Official | ARELLANO, MONIQUE (PRACTICE MANAGER) |
| NPI Enumeration Date | 08/31/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
308 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
55 |
55 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
79 |
79 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
85 |
42 |
$880.13 |
| D0220 |
Intraoral - periapical first radiographic image |
50 |
50 |
$854.21 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$537.90 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$363.84 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$276.45 |