JAAMOUR, SUSAN
NPI: 1144873522
· SAINT PETERSBURG, FL 33701
· General Practice Dentistry
· NPI assigned 07/24/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
144 |
$2K |
| 2020 |
67 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$924.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$615.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
13 |
$586.15 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$533.00 |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
60 |
$330.40 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$287.30 |
| D0230 |
Intraoral - periapical each additional radiographic image |
54 |
54 |
$228.00 |