LEBLEBIJIAN, RAFFI
NPI: 1376594754
· KANKAKEE, IL 60901
· General Practice Dentistry
· NPI assigned 05/12/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
549 |
$15K |
| 2019 |
406 |
$12K |
| 2020 |
361 |
$12K |
| 2021 |
317 |
$11K |
| 2022 |
204 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
663 |
582 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
642 |
588 |
$17K |
| D1110 |
Prophylaxis - adult |
226 |
213 |
$9K |
| D1206 |
Topical application of fluoride varnish |
122 |
111 |
$3K |
| D0272 |
Bitewings - two radiographic images |
132 |
112 |
$1K |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$599.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$273.65 |