SONOMA DENTAL GROUP, P.C.
NPI: 1225346968
· FENTON, MI 48430
· General Practice Dentistry
· NPI assigned 09/15/2010
Provider Details
| Authorized Official | MAZHARI, NAHAL (OWNER) |
| NPI Enumeration Date | 09/15/2010 |
Related Entities
Other providers sharing the same authorized official: MAZHARI, NAHAL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
123 |
$4K |
| 2024 |
224 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
115 |
115 |
$3K |
| D1206 |
Topical application of fluoride varnish |
100 |
100 |
$2K |
| D1120 |
Prophylaxis - child |
52 |
52 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
40 |
$636.37 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$102.70 |