NPI: 1477190502 · WORCESTER, MA 01605 · General Practice Dentistry · NPI assigned 12/09/2019
Authorized official ALKHOURY, HOUSSAM controls 20+ related entities in our dataset. Read more
| Authorized Official | ALKHOURY, HOUSSAM (OWNER) |
| NPI Enumeration Date | 12/09/2019 |
Other providers sharing the same authorized official: ALKHOURY, HOUSSAM
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 594 | $24K |
| 2024 | 1,016 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 512 | 492 | $26K |
| D0150 | Comprehensive oral evaluation - new or established patient | 321 | 313 | $19K |
| D1206 | Topical application of fluoride varnish | 536 | 516 | $14K |
| D0120 | Periodic oral evaluation - established patient | 174 | 165 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18 | 12 | $2K |
| D0330 | Panoramic radiographic image | 12 | 12 | $824.00 |
| D0272 | Bitewings - two radiographic images | 25 | 25 | $710.00 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $414.00 |