HARIZ, SAM
NPI: 1538235320
· FREMONT, CA 94538
· Dentist
· NPI assigned 11/26/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
54 |
$4K |
| 2020 |
38 |
$2K |
| 2021 |
15 |
$675.00 |
| 2022 |
155 |
$7K |
| 2023 |
12 |
$815.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
120 |
120 |
$7K |
| D1110 |
Prophylaxis - adult |
42 |
42 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$2K |
| D1120 |
Prophylaxis - child |
15 |
15 |
$787.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$262.50 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$259.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
17 |
$178.20 |