ABDAL, NIDAA
NPI: 1164515128
· FARMINGTON HILLS, MI 48336
· General Practice Dentistry
· NPI assigned 10/02/2006
$878.68
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$878.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$628.68 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$250.00 |