DIGITAL DENTAL STUDIO LLC
NPI: 1366225310
· MONROE, OH 45050
· General Practice Dentistry
· NPI assigned 08/15/2023
Provider Details
| Authorized Official | KHAN, AKHLAQ (DDS) |
| NPI Enumeration Date | 08/15/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
69 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$1K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$717.42 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$604.20 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$570.52 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$383.24 |