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MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP
MOHAMED KAYS DOWAIDARI DDS PC DELICATE DENTAL SPA DENTAL GROUP
NPI: 1508376989
· UPLAND, CA 91784
· General Practice Dentistry
· NPI assigned 10/11/2017
$704K
Total Medicaid Paid
Provider Details
| Authorized Official | CHATMAN, NATASHA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,450 |
$135K |
| 2022 |
4,394 |
$163K |
| 2023 |
4,898 |
$192K |
| 2024 |
5,497 |
$214K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4910 |
|
1,169 |
1,164 |
$90K |
| D1110 |
|
1,003 |
997 |
$88K |
| D2332 |
|
1,016 |
177 |
$80K |
| D2751 |
|
143 |
95 |
$68K |
| D4341 |
|
845 |
233 |
$59K |
| D0150 |
|
844 |
841 |
$56K |
| D0120 |
|
591 |
586 |
$52K |
| D9430 |
|
1,394 |
1,149 |
$45K |
| D0210 |
|
656 |
655 |
$31K |
| D2391 |
|
447 |
232 |
$24K |
| D1208 |
|
1,436 |
1,430 |
$21K |
| D0230 |
|
4,560 |
1,243 |
$18K |
| D0350 |
|
1,764 |
578 |
$17K |
| D0220 |
|
1,216 |
1,080 |
$14K |
| D2954 |
|
115 |
79 |
$12K |
| D1120 |
|
229 |
228 |
$10K |
| D2392 |
|
100 |
50 |
$7K |
| D0272 |
|
374 |
374 |
$4K |
| D0274 |
|
132 |
130 |
$3K |
| D2393 |
|
34 |
25 |
$3K |
| D1351 |
|
136 |
25 |
$2K |
| D4342 |
|
35 |
12 |
$1K |