ALL STAR KIDS PEDIATRIC DENTISTRY
NPI: 1285490441
· DEARBORN HEIGHTS, MI 48125
· Dental Clinic/Center
· NPI assigned 02/26/2024
Provider Details
| Authorized Official | SOBH, MOHAMMED (OWNER) |
| NPI Enumeration Date | 02/26/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
347 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
196 |
53 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
32 |
$2K |
| D1120 |
Prophylaxis - child |
33 |
33 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
70 |
70 |
$1K |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$448.00 |