OPHASO, NISSA
NPI: 1609280395
· SCHAUMBURG, IL 60173
· General Practice Dentistry
· NPI assigned 06/20/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
126 |
$0.00 |
| 2023 |
668 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
105 |
104 |
$14K |
| D1351 |
Sealant - per tooth |
64 |
13 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
53 |
53 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
109 |
30 |
$920.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
59 |
58 |
$808.50 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$661.50 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
43 |
$540.08 |
| D0350 |
|
12 |
12 |
$183.80 |
| D0603 |
|
331 |
328 |
$0.00 |