MONA A FAHMY D.D.S. INC.
NPI: 1467857391
· BUENA PARK, CA 90621
· General Practice Dentistry
· NPI assigned 11/04/2014
Provider Details
| Authorized Official | FAHMY, MONA (OWNER/DENTIST) |
| NPI Enumeration Date | 11/04/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,318 |
$25K |
| 2019 |
453 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
221 |
219 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
152 |
151 |
$7K |
| D1120 |
Prophylaxis - child |
140 |
136 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
164 |
160 |
$4K |
| D0274 |
Bitewings - four radiographic images |
192 |
188 |
$3K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
649 |
268 |
$2K |
| D9430 |
|
66 |
57 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
137 |
136 |
$872.00 |