NEW IMAGE DENTISTRY, PC
NPI: 1568630648
· EDMOND, OK 73013
· Dentist
· NPI assigned 02/12/2008
Provider Details
| Authorized Official | NOSRATI, MIRIAM (DENTIST) |
| NPI Enumeration Date | 02/12/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
142 |
$9K |
| 2023 |
320 |
$12K |
| 2024 |
12 |
$521.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
81 |
37 |
$11K |
| D1110 |
Prophylaxis - adult |
108 |
108 |
$5K |
| D0274 |
Bitewings - four radiographic images |
64 |
64 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
85 |
85 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$764.72 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$748.34 |
| D1208 |
Topical application of fluoride, excluding varnish |
44 |
44 |
$655.32 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$502.59 |