EDMOND MASSABNI PC
NPI: 1255637427
· HOLLISTON, MA 01746
· Dentist
· NPI assigned 02/04/2011
Provider Details
Related Entities
Other providers sharing the same authorized official: MASSABNI, EDMOND
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
27 |
$1K |
| 2024 |
68 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
41 |
40 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
41 |
40 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$403.00 |