KASSAR, RAEDA
NPI: 1427122621
· GLENDORA, CA 91741
· General Practice Dentistry
· NPI assigned 11/20/2006
$108K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
296 |
$7K |
| 2019 |
752 |
$24K |
| 2020 |
1,028 |
$32K |
| 2021 |
1,419 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
959 |
720 |
$31K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
219 |
219 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
316 |
316 |
$14K |
| D1110 |
Prophylaxis - adult |
130 |
130 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
226 |
226 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
767 |
764 |
$9K |
| D4910 |
|
116 |
115 |
$9K |
| D1120 |
Prophylaxis - child |
120 |
120 |
$4K |
| D0274 |
Bitewings - four radiographic images |
131 |
131 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
472 |
285 |
$2K |
| D0250 |
|
39 |
39 |
$858.00 |