DIMA G KHALIFE DDS PC
NPI: 1255040309
· CLINTON TOWNSHIP, MI 48038
· Dental Clinic/Center
· NPI assigned 11/17/2022
Provider Details
| Authorized Official | RETTIG, CHRIS (COORDINATOR) |
| NPI Enumeration Date | 11/17/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
60 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$478.83 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
13 |
$326.60 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$251.62 |