KHOURY, ISSA
NPI: 1265511828
· LIVONIA, MI 48152
· Dentist
· NPI assigned 11/03/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
164 |
$5K |
| 2019 |
24 |
$672.00 |
| 2020 |
14 |
$392.00 |
| 2021 |
39 |
$980.00 |
| 2022 |
58 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
178 |
178 |
$5K |
| D1120 |
Prophylaxis - child |
58 |
58 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
51 |
51 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$444.00 |