AMERICAN DENTAL SAGINAW
NPI: 1174370811
· SAGINAW, MI 48603
· Dental Clinic/Center
· NPI assigned 05/01/2024
Provider Details
Related Entities
Other providers sharing the same authorized official: KHANAFER, ABRAHAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
663 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
119 |
119 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
39 |
24 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
90 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
52 |
52 |
$4K |
| D1206 |
Topical application of fluoride varnish |
111 |
111 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
93 |
93 |
$3K |
| D0274 |
Bitewings - four radiographic images |
47 |
47 |
$2K |
| D1120 |
Prophylaxis - child |
34 |
34 |
$1K |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
48 |
46 |
$796.23 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$665.00 |