BEHESHTI, SOREN
NPI: 1497086003
· KENSINGTON, MD 20895
· Dentist
· NPI assigned 01/21/2010
$411.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
252 |
$411.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
13 |
$167.00 |
| D0274 |
Bitewings - four radiographic images |
80 |
29 |
$101.00 |
| D1110 |
Prophylaxis - adult |
25 |
12 |
$76.00 |
| D0220 |
Intraoral - periapical first radiographic image |
73 |
26 |
$51.30 |
| D0230 |
Intraoral - periapical each additional radiographic image |
29 |
14 |
$16.20 |