JALALI-JAFARI, GOLNAZ
NPI: 1558640870
· MC LEAN, VA 22101
· Pediatric Dentist
· NPI assigned 08/04/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
237 |
$5K |
| 2019 |
164 |
$3K |
| 2020 |
211 |
$6K |
| 2021 |
90 |
$2K |
| 2022 |
174 |
$5K |
| 2023 |
73 |
$2K |
| 2024 |
56 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
454 |
454 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
449 |
449 |
$9K |
| D9920 |
|
39 |
38 |
$3K |
| D1120 |
Prophylaxis - child |
51 |
51 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$718.43 |