MOHAMMED SHAFAYETUL ISLAM DDS INC
NPI: 1194393595
· FRESNO, CA 93710
· Dental Clinic/Center
· NPI assigned 06/14/2021
$2.90M
Total Medicaid Paid
Provider Details
| Authorized Official | ISLAM, MOHAMMED (PRESIDENT) |
| NPI Enumeration Date | 06/14/2021 |
Related Entities
Other providers sharing the same authorized official: ISLAM, MOHAMMED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
678 |
$33K |
| 2022 |
4,956 |
$641K |
| 2023 |
7,508 |
$1.02M |
| 2024 |
9,538 |
$1.20M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
2,737 |
2,568 |
$1.27M |
| D0150 |
Comprehensive oral evaluation - new or established patient |
7,174 |
7,151 |
$473K |
| D3320 |
|
1,232 |
1,099 |
$450K |
| D0210 |
Intraoral - complete series of radiographic images |
7,238 |
7,213 |
$346K |
| D3310 |
|
534 |
408 |
$159K |
| D9430 |
|
2,673 |
2,391 |
$85K |
| D2740 |
Crown - porcelain/ceramic |
173 |
135 |
$82K |
| D3221 |
|
618 |
580 |
$39K |
| D0230 |
Intraoral - periapical each additional radiographic image |
177 |
73 |
$907.20 |
| D1206 |
Topical application of fluoride varnish |
40 |
39 |
$630.00 |
| D0272 |
Bitewings - two radiographic images |
29 |
29 |
$336.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$120.00 |
| D0270 |
|
16 |
16 |
$50.00 |
| D1330 |
|
27 |
27 |
$0.00 |