FERESHTEH MAGHSOUDY DMD INC
NPI: 1124454897
· LA JOLLA, CA 92037
· Preferred Provider Organization
· NPI assigned 09/25/2013
$382.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$382.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$280.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$102.00 |
| D1330 |
|
12 |
12 |
$0.00 |