MOAYEDI, MINA
NPI: 1225185861
· CULVER CITY, CA 90232
· General Practice Dentistry
· NPI assigned 01/05/2007
$795.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$605.00 |
| 2019 |
16 |
$190.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$455.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$190.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$150.00 |