SEDAGHATPOUR, JASMINE
NPI: 1245654508
· OCEANSIDE, NY 11572
· Student in an Organized Health Care Education/Training Program
· NPI assigned 02/06/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
765 |
$21K |
| 2020 |
792 |
$20K |
| 2021 |
692 |
$17K |
| 2022 |
196 |
$4K |
| 2023 |
40 |
$974.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
694 |
694 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
865 |
865 |
$21K |
| D1206 |
Topical application of fluoride varnish |
357 |
357 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
300 |
300 |
$4K |
| D0272 |
Bitewings - two radiographic images |
211 |
211 |
$3K |
| D1110 |
Prophylaxis - adult |
34 |
34 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$302.40 |
| D0240 |
|
12 |
12 |
$199.92 |