KHALIL, MUSTAJAB
NPI: 1336700046
· DEPTFORD, NJ 08096
· General Practice Dentistry
· NPI assigned 06/24/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
71 |
$2K |
| 2023 |
14 |
$350.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
45 |
45 |
$1K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$715.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$190.00 |