MOTAMEDI DENTAL CORP
NPI: 1427795327
· WEST COVINA, CA 91792
· Dental Clinic/Center
· NPI assigned 05/13/2022
Provider Details
| Authorized Official | MOTAMEDI, AMIR (OWNER) |
| NPI Enumeration Date | 05/13/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
290 |
$11K |
| 2024 |
248 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
263 |
263 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
103 |
103 |
$5K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
110 |
28 |
$481.95 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$386.00 |
| D9430 |
|
12 |
12 |
$384.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$132.10 |