AL-FARRA, NISREEN
NPI: 1548837073
· ADDISON, IL 60101
· Dentist
· NPI assigned 06/03/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
110 |
$3K |
| 2023 |
420 |
$12K |
| 2024 |
422 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
301 |
300 |
$13K |
| D1206 |
Topical application of fluoride varnish |
239 |
239 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
171 |
170 |
$5K |
| D1354 |
|
41 |
29 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
81 |
80 |
$640.64 |
| D0220 |
Intraoral - periapical first radiographic image |
95 |
94 |
$627.95 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$312.96 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$239.28 |