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GENERAL DENTISTRY MANAGEMENT ONE LLC
GENERAL DENTISTRY MANAGEMENT ONE LLC
NPI: 1295325587
· PLANO, TX 75075
· General Practice Dentistry
· NPI assigned 01/21/2021
Provider Details
| Authorized Official | JAOUNI, MAHEEB (OWNER/PRESIDENT) |
| NPI Enumeration Date | 01/21/2021 |
Related Entities
Other providers sharing the same authorized official: JAOUNI, MAHEEB
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
226 |
$3K |
| 2022 |
566 |
$8K |
| 2023 |
67 |
$783.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
142 |
137 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
267 |
158 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
159 |
155 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
180 |
174 |
$2K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$713.44 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$380.71 |
| D0272 |
Bitewings - two radiographic images |
14 |
12 |
$280.56 |
| D0601 |
|
43 |
43 |
$0.00 |
| D0602 |
|
28 |
27 |
$0.00 |