ISSAQ, GHALIB
NPI: 1518307008
· WEST BLOOMFIELD, MI 48322
· Dentist
· NPI assigned 06/27/2013
$926.80
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
35 |
$926.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
21 |
21 |
$576.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$350.00 |