YADOLLAHIBASTANI, SASAN
NPI: 1558793323
· BAYTOWN, TX 77520
· Dentist
· NPI assigned 08/05/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
199 |
$4K |
| 2021 |
2,681 |
$40K |
| 2022 |
522 |
$7K |
| 2023 |
233 |
$3K |
| 2024 |
28 |
$191.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0145 |
Oral evaluation for a patient under three years of age |
120 |
106 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
484 |
412 |
$10K |
| D1120 |
Prophylaxis - child |
320 |
271 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
568 |
492 |
$6K |
| D1110 |
Prophylaxis - adult |
151 |
124 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
509 |
431 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
469 |
401 |
$4K |
| D0274 |
Bitewings - four radiographic images |
65 |
48 |
$1K |
| D0272 |
Bitewings - two radiographic images |
47 |
39 |
$591.36 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
23 |
21 |
$565.12 |
| D0603 |
|
907 |
801 |
$0.00 |