KHOURY, RAMMIZ
NPI: 1316438666
· SWARTZ CREEK, MI 48473
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/22/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
44 |
$1K |
| 2020 |
66 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
29 |
29 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$738.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$492.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$444.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$102.00 |