SHIVA IZADDOUST D.D.S. P.A.
NPI: 1275667503
· SAN ANTONIO, TX 78207
· Dental Clinic/Center
· NPI assigned 03/16/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: IZADDOUST, SHIVA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
19 |
$0.00 |
| 2021 |
602 |
$7K |
| 2022 |
1,306 |
$19K |
| 2023 |
778 |
$9K |
| 2024 |
232 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
348 |
338 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
470 |
450 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
492 |
458 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
483 |
442 |
$5K |
| D1120 |
Prophylaxis - child |
124 |
121 |
$4K |
| D1110 |
Prophylaxis - adult |
86 |
85 |
$4K |
| D0274 |
Bitewings - four radiographic images |
72 |
70 |
$2K |
| D0272 |
Bitewings - two radiographic images |
88 |
85 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$353.20 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$220.50 |
| D0603 |
|
747 |
702 |
$0.00 |