ARTISTIC DENTISTRY
NPI: 1184922122
· DEARBORN, MI 48126
· Dental Clinic/Center
· NPI assigned 02/28/2011
$138K
Total Medicaid Paid
Provider Details
| Authorized Official | SHAABAN, ALI (PRESIDENT) |
| NPI Enumeration Date | 02/28/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
253 |
$23K |
| 2019 |
14 |
$358.78 |
| 2020 |
17 |
$436.67 |
| 2021 |
245 |
$77K |
| 2022 |
61 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2710 |
|
134 |
64 |
$83K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
139 |
70 |
$20K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
135 |
61 |
$16K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
20 |
14 |
$11K |
| D2394 |
|
25 |
18 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
94 |
94 |
$2K |
| D1120 |
Prophylaxis - child |
43 |
43 |
$2K |