AMANI SOLIMAN D.D.S,INC
NPI: 1558684506
· LAKE FOREST, CA 92630
· Dentist
· NPI assigned 03/04/2010
$185K
Total Medicaid Paid
Provider Details
| Authorized Official | SOLIMAN, AMANI (OWNER) |
| NPI Enumeration Date | 03/04/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,241 |
$35K |
| 2019 |
1,688 |
$31K |
| 2020 |
922 |
$24K |
| 2021 |
1,154 |
$25K |
| 2022 |
821 |
$29K |
| 2023 |
800 |
$23K |
| 2024 |
615 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,474 |
1,464 |
$72K |
| D1120 |
Prophylaxis - child |
1,126 |
1,125 |
$38K |
| D9430 |
|
1,145 |
998 |
$37K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,742 |
1,237 |
$11K |
| D1110 |
Prophylaxis - adult |
112 |
112 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
741 |
741 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
386 |
367 |
$4K |
| D0272 |
Bitewings - two radiographic images |
311 |
310 |
$4K |
| D0274 |
Bitewings - four radiographic images |
190 |
190 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$792.00 |