JABBOUR, NIZAM
NPI: 1316066046
· POUGHKEEPSIE, NY 12601
· General Practice Dentistry
· NPI assigned 03/27/2007
$102K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
369 |
$11K |
| 2019 |
316 |
$10K |
| 2020 |
324 |
$7K |
| 2021 |
944 |
$22K |
| 2022 |
1,363 |
$32K |
| 2023 |
744 |
$17K |
| 2024 |
194 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
820 |
818 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,083 |
1,078 |
$27K |
| D0220 |
Intraoral - periapical first radiographic image |
1,092 |
1,063 |
$13K |
| D0230 |
Intraoral - periapical each additional radiographic image |
766 |
751 |
$12K |
| D9110 |
|
266 |
260 |
$6K |
| D0274 |
Bitewings - four radiographic images |
183 |
182 |
$5K |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$340.52 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$322.50 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$164.70 |