NPI: 1528567575 · COTTONWOOD, AZ 86326 · General Practice Dentistry · NPI assigned 02/05/2018
| Authorized Official | EFTEKHARI, MASSOUD (DENTIST/OWNER) |
| NPI Enumeration Date | 02/05/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 154 | $0.00 |
| 2020 | 493 | $0.00 |
| 2021 | 359 | $0.00 |
| 2022 | 300 | $120.31 |
| 2023 | 355 | $5K |
| 2024 | 589 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 796 | 756 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 824 | 783 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 495 | 447 | $1K |
| D0270 | 93 | 89 | $967.25 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 42 | 15 | $0.00 |