EBI NIKJOO DENTAL CORP
NPI: 1316315724
· PANORAMA CITY, CA 91402
· Dental Clinic/Center
· NPI assigned 09/02/2015
Provider Details
| Authorized Official | NIKJOO, EDI (CEO) |
| NPI Enumeration Date | 09/02/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$726.00 |
| 2022 |
213 |
$12K |
| 2023 |
109 |
$6K |
| 2024 |
226 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
204 |
203 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
106 |
105 |
$5K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
55 |
15 |
$4K |
| D9430 |
|
113 |
102 |
$3K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$735.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
54 |
13 |
$204.56 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$191.00 |