KHILLAH, SHADI
NPI: 1124433396
· GALESBURG, MI 49053
· Dentist
· NPI assigned 06/26/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
76 |
$3K |
| 2021 |
77 |
$3K |
| 2022 |
50 |
$2K |
| 2023 |
36 |
$1K |
| 2024 |
12 |
$633.78 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
188 |
185 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$666.40 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$440.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$387.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$288.00 |