ELMASOURI, SABAH
NPI: 1265459994
· CAMDEN, NY 13316
· Dentist
· NPI assigned 07/17/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
258 |
$8K |
| 2020 |
15 |
$414.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
117 |
116 |
$3K |
| D1110 |
Prophylaxis - adult |
35 |
34 |
$2K |
| D0274 |
Bitewings - four radiographic images |
50 |
49 |
$1K |
| D1120 |
Prophylaxis - child |
30 |
30 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
29 |
$393.25 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$147.00 |