NPI: 1346889672 · HIGHLAND, IN 46322 · General Practice Dentistry · NPI assigned 01/03/2020
| Authorized Official | RANJBARI, MOHAMMAD (OWNER) |
| NPI Enumeration Date | 01/03/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 52 | $3K |
| 2023 | 146 | $8K |
| 2024 | 106 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 54 | 26 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 79 | 79 | $3K |
| D0120 | Periodic oral evaluation - established patient | 110 | 96 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $1K |
| D0274 | Bitewings - four radiographic images | 25 | 25 | $919.00 |
| D1208 | Topical application of fluoride, excluding varnish | 24 | 24 | $526.68 |