KHAN, YASMIN
NPI: 1508077322
· NORTH BERGEN, NJ 07047
· Dentist
· NPI assigned 05/24/2007
$697.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
33 |
$648.00 |
| 2022 |
13 |
$49.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
19 |
19 |
$585.00 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
26 |
$112.50 |