HASAN, MAFUJUL
NPI: 1528057684
· SUNNYSIDE, NY 11104
· Dentist
· NPI assigned 10/20/2005
$913.94
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$255.94 |
| 2023 |
26 |
$658.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$408.00 |
| D0250 |
|
13 |
13 |
$255.94 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$250.00 |