SKK DENTAL PLLC DBA LIBERTY DENTAL ARTS
NPI: 1497295679
· ROCHESTER, NY 14626
· Dentist
· NPI assigned 03/07/2017
$510K
Total Medicaid Paid
Provider Details
| Authorized Official | KHALIL, SAMIR (DENTIST) |
| NPI Enumeration Date | 03/07/2017 |
Related Entities
Other providers sharing the same authorized official: KHALIL, SAMIR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,908 |
$88K |
| 2022 |
5,616 |
$244K |
| 2023 |
4,472 |
$178K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
|
1,467 |
828 |
$108K |
| D1110 |
|
2,115 |
2,114 |
$107K |
| D0330 |
|
1,353 |
1,353 |
$63K |
| D0274 |
|
1,392 |
1,392 |
$41K |
| D0150 |
|
1,326 |
1,326 |
$36K |
| D2391 |
|
745 |
460 |
$35K |
| D2393 |
|
327 |
241 |
$30K |
| D0120 |
|
1,042 |
1,041 |
$26K |
| D1120 |
|
504 |
504 |
$19K |
| D7210 |
|
122 |
41 |
$10K |
| D1206 |
|
317 |
317 |
$8K |
| D1208 |
|
520 |
520 |
$7K |
| D2150 |
|
65 |
32 |
$5K |
| D0272 |
|
208 |
208 |
$4K |
| D0140 |
|
213 |
213 |
$3K |
| D0220 |
|
208 |
205 |
$2K |
| D7140 |
|
35 |
13 |
$2K |
| D2331 |
|
19 |
12 |
$2K |
| D2140 |
|
18 |
12 |
$916.92 |