KAMBO-GJELAJ, ANIJOLTA
NPI: 1477045508
· WOODHAVEN, MI 48183
· General Practice Dentistry
· NPI assigned 06/04/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
434 |
$12K |
| 2019 |
1,350 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
294 |
294 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
421 |
421 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
375 |
375 |
$9K |
| D1110 |
Prophylaxis - adult |
111 |
111 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
275 |
275 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
242 |
242 |
$2K |
| D0274 |
Bitewings - four radiographic images |
41 |
41 |
$1K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$625.00 |