ALI KHOSROVANI PARHAM RAMTIN LILA ZARRINNAM
NPI: 1164866810
· CANYON COUNTRY, CA 91351
· General Practice Dentistry
· NPI assigned 04/24/2013
Provider Details
| Authorized Official | KHOSROVANI, ALI (OWNER/DENTIST) |
| NPI Enumeration Date | 04/24/2013 |
Related Entities
Other providers sharing the same authorized official: KHOSROVANI, ALI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
36 |
$2K |
| 2022 |
246 |
$10K |
| 2023 |
737 |
$28K |
| 2024 |
337 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
368 |
364 |
$24K |
| D0210 |
Intraoral - complete series of radiographic images |
211 |
210 |
$9K |
| D1120 |
Prophylaxis - child |
91 |
91 |
$5K |
| D1110 |
Prophylaxis - adult |
45 |
45 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
47 |
47 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
214 |
214 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
43 |
17 |
$3K |
| D1206 |
Topical application of fluoride varnish |
84 |
84 |
$1K |
| D0274 |
Bitewings - four radiographic images |
51 |
50 |
$972.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
190 |
113 |
$757.35 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$144.00 |