TABATABAEEI-FATEMI, MOHAMMAD
NPI: 1154373413
· LEXINGTON PARK, MD 20653
· General Practice Dentistry
· NPI assigned 05/16/2006
$438.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
49 |
$438.00 |
| 2021 |
15 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
30 |
27 |
$372.00 |
| D0274 |
Bitewings - four radiographic images |
18 |
15 |
$66.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
13 |
$0.00 |