KHOSH, SHAYESTEH
NPI: 1477699635
· BURBANK, CA 91504
· Dentist
· NPI assigned 01/29/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,185 |
$20K |
| 2019 |
907 |
$24K |
| 2020 |
172 |
$5K |
| 2021 |
171 |
$7K |
| 2022 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
522 |
519 |
$21K |
| D1110 |
Prophylaxis - adult |
223 |
222 |
$18K |
| D1120 |
Prophylaxis - child |
167 |
166 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
930 |
502 |
$4K |
| D0272 |
Bitewings - two radiographic images |
259 |
255 |
$3K |
| D1206 |
Topical application of fluoride varnish |
135 |
135 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
211 |
207 |
$2K |
| D4910 |
|
13 |
13 |
$936.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |