SAMEEH G TADROS DDS INC
NPI: 1497187793
· IRVINE, CA 92618
· Dentist
· NPI assigned 08/08/2013
$177K
Total Medicaid Paid
Provider Details
| Authorized Official | TADROS, SAMEEH (PRESIDENT) |
| NPI Enumeration Date | 08/08/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
331 |
$14K |
| 2019 |
157 |
$9K |
| 2020 |
180 |
$9K |
| 2021 |
1,462 |
$66K |
| 2022 |
988 |
$40K |
| 2023 |
1,281 |
$31K |
| 2024 |
535 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
817 |
811 |
$49K |
| D1110 |
Prophylaxis - adult |
429 |
428 |
$38K |
| D0210 |
Intraoral - complete series of radiographic images |
765 |
759 |
$34K |
| D4910 |
|
239 |
239 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
195 |
194 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
640 |
639 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,590 |
590 |
$6K |
| D4341 |
|
39 |
12 |
$3K |
| D9430 |
|
44 |
41 |
$1K |
| D0330 |
Panoramic radiographic image |
39 |
39 |
$1K |
| D0272 |
Bitewings - two radiographic images |
98 |
95 |
$984.00 |
| D1120 |
Prophylaxis - child |
25 |
25 |
$690.00 |
| D0270 |
|
14 |
14 |
$65.00 |