KHANT, HTET
NPI: 1447034285
· LOS ALAMITOS, CA 90720
· Dentist
· NPI assigned 08/22/2023
$762.57
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
72 |
$762.57 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$245.14 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$202.18 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$190.30 |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
18 |
$124.95 |
| D0603 |
|
13 |
13 |
$0.00 |