AIT OUBELLI, ANIA
NPI: 1366874497
· MONTREAL, QUEBEC H8N1X
· Dentist
· NPI assigned 07/31/2013
$830.45
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
108 |
$747.77 |
| 2019 |
12 |
$82.68 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
53 |
53 |
$385.83 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$179.14 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$172.25 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
28 |
$93.23 |