STIPHO, THAIR
NPI: 1174552921
· HAMTRAMCK, MI 48212
· General Practice Dentistry
· NPI assigned 07/02/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
75 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
38 |
38 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$640.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$360.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$260.00 |