AMERIDENT DENTAL PC
NPI: 1174990097
· DRACUT, MA 01826
· Dentist
· NPI assigned 08/26/2015
Provider Details
| Authorized Official | MALLOUH, ABBOUD (SPECIALIST) |
| NPI Enumeration Date | 08/26/2015 |
Related Entities
Other providers sharing the same authorized official: MALLOUH, ABBOUD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
106 |
$3K |
| 2022 |
546 |
$17K |
| 2023 |
407 |
$16K |
| 2024 |
126 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
533 |
501 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
256 |
246 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
209 |
187 |
$3K |
| D0274 |
Bitewings - four radiographic images |
65 |
62 |
$2K |
| D1206 |
Topical application of fluoride varnish |
79 |
77 |
$2K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$715.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$524.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
13 |
$190.00 |