IDLIBI, AMMAR
NPI: 1376569012
· BRISTOL, CT 06010
· Pediatric Dentist
· NPI assigned 07/14/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
45 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$631.12 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
16 |
$454.72 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$445.90 |