KHAN, AYESHAW
NPI: 1619357175
· BUCKEYE, AZ 85326
· Dentist
· NPI assigned 05/31/2015
$180.59
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
483 |
$0.00 |
| 2019 |
553 |
$0.00 |
| 2020 |
201 |
$0.00 |
| 2021 |
245 |
$0.00 |
| 2022 |
161 |
$0.00 |
| 2023 |
1,395 |
$180.59 |
| 2024 |
56 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
299 |
291 |
$52.58 |
| D1110 |
Prophylaxis - adult |
137 |
127 |
$38.86 |
| D0220 |
Intraoral - periapical first radiographic image |
1,311 |
1,195 |
$34.29 |
| D0120 |
Periodic oral evaluation - established patient |
143 |
136 |
$21.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
713 |
646 |
$18.28 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$14.86 |
| D0140 |
Limited oral evaluation - problem focused |
327 |
287 |
$0.00 |
| D0330 |
Panoramic radiographic image |
113 |
109 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| D2950 |
|
26 |
12 |
$0.00 |