ROSTAMI, MEHRANGIZ
NPI: 1396762571
· BASKING RIDGE, NJ 07920
· General Practice Dentistry
· NPI assigned 07/16/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
104 |
$3K |
| 2019 |
76 |
$3K |
| 2020 |
46 |
$1K |
| 2021 |
97 |
$4K |
| 2022 |
54 |
$1K |
| 2023 |
12 |
$200.00 |
| 2024 |
13 |
$275.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
248 |
248 |
$6K |
| D1110 |
Prophylaxis - adult |
77 |
77 |
$4K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$650.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$130.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$98.00 |