AHMED, AZZA
NPI: 1326672791
· CHICAGO, IL 60612
· Pediatric Dentist
· NPI assigned 02/25/2020
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
236 |
$20K |
| 2023 |
178 |
$53K |
| 2024 |
86 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
232 |
87 |
$75K |
| D7140 |
Extraction, erupted tooth or exposed root |
135 |
62 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$756.84 |
| D2330 |
|
16 |
14 |
$692.62 |
| D1120 |
Prophylaxis - child |
23 |
23 |
$381.85 |
| D0230 |
Intraoral - periapical each additional radiographic image |
22 |
15 |
$319.58 |
| D1206 |
Topical application of fluoride varnish |
22 |
22 |
$262.65 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$144.08 |