JUNDI SAMMAN, RANDA
NPI: 1366629479
· PORT HURON, MI 48060
· Dentist
· NPI assigned 01/31/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$2K |
| 2019 |
84 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
67 |
67 |
$2K |
| D1120 |
Prophylaxis - child |
33 |
33 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$648.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$540.00 |