FAVAGEHI, JASON
NPI: 1174764047
· VIENNA, VA 22182
· Dentist
· NPI assigned 03/23/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
535 |
$9K |
| 2021 |
199 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
334 |
193 |
$9K |
| D0274 |
Bitewings - four radiographic images |
194 |
115 |
$2K |
| D0330 |
Panoramic radiographic image |
91 |
51 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
48 |
29 |
$845.37 |
| D0120 |
Periodic oral evaluation - established patient |
21 |
14 |
$282.10 |
| D0220 |
Intraoral - periapical first radiographic image |
46 |
28 |
$67.08 |