MERVAT S. BAKHOUM, D.D.S.
NPI: 1447429303
· LOS ANGELES, CA 90042
· General Practice Dentistry
· NPI assigned 02/25/2008
Provider Details
| Authorized Official | BANSAL, MANEESH (ADMINISTRATOR) |
| NPI Enumeration Date | 02/25/2008 |
Related Entities
Other providers sharing the same authorized official: BANSAL, MANEESH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,058 |
$40K |
| 2019 |
1,437 |
$28K |
| 2020 |
206 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
238 |
238 |
$14K |
| D7140 |
Extraction, erupted tooth or exposed root |
192 |
107 |
$11K |
| D1120 |
Prophylaxis - child |
287 |
285 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
221 |
219 |
$7K |
| D0274 |
Bitewings - four radiographic images |
335 |
333 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,665 |
661 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
113 |
113 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
101 |
101 |
$4K |
| D4341 |
|
48 |
13 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
211 |
184 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
243 |
241 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
33 |
28 |
$2K |
| D1203 |
|
14 |
14 |
$104.00 |