SCOTTSDALE PEDIATRIC DENTISTRY
NPI: 1598509796
· MESA, AZ 85202
· Pediatric Dentist
· NPI assigned 06/21/2024
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BUKHARI, SARA (OWNER) |
| NPI Enumeration Date | 06/21/2024 |
Related Entities
Other providers sharing the same authorized official: BUKHARI, SARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
67 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
12 |
$0.00 |
| D0603 |
|
13 |
13 |
$0.00 |