COSMETIC AND FAMILY DENTISTRY
NPI: 1386773075
· PHILADELPHIA, PA 19144
· Dental Clinic/Center
· NPI assigned 03/05/2007
Provider Details
| Authorized Official | ELMIMEH, HANI (OWNER) |
| NPI Enumeration Date | 03/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$347.06 |
| 2021 |
603 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
188 |
187 |
$6K |
| D0274 |
Bitewings - four radiographic images |
204 |
203 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
112 |
111 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
76 |
76 |
$1K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$897.89 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$286.32 |