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MASSOUD KHAMI, D.D.S., JONTIANA BADEI, D.D.S., P.S.
MASSOUD KHAMI, D.D.S., JONTIANA BADEI, D.D.S., P.S.
NPI: 1346543592
· LYNNWOOD, WA 98036
· Dentist
· NPI assigned 12/09/2010
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | BADEI, JONTIANA (PRESIDENT) |
| NPI Enumeration Date | 12/09/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,553 |
$28K |
| 2019 |
988 |
$18K |
| 2020 |
783 |
$17K |
| 2021 |
883 |
$16K |
| 2022 |
729 |
$15K |
| 2023 |
1,079 |
$37K |
| 2024 |
1,285 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,844 |
1,707 |
$40K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,093 |
1,923 |
$31K |
| D1120 |
Prophylaxis - child |
1,185 |
1,083 |
$24K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
329 |
94 |
$21K |
| D1110 |
Prophylaxis - adult |
306 |
277 |
$11K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
162 |
65 |
$10K |
| D1351 |
Sealant - per tooth |
486 |
80 |
$9K |
| D1354 |
|
741 |
55 |
$3K |
| D0274 |
Bitewings - four radiographic images |
124 |
115 |
$2K |
| D0330 |
Panoramic radiographic image |
18 |
15 |
$638.25 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$123.48 |