MAHTAB SAADATMANDI,DMD, A DENTAL CORPORATION
NPI: 1497375042
· ESCONDIDO, CA 92025
· Dental Clinic/Center
· NPI assigned 04/23/2020
Provider Details
Related Entities
Other providers sharing the same authorized official: SAADATMANDI, MAHTAB
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
190 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
80 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
65 |
65 |
$3K |
| D1120 |
Prophylaxis - child |
22 |
22 |
$570.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
23 |
23 |
$209.00 |