DASHTI, SEPI
NPI: 1619630480
· WAUKEGAN, IL 60085
· General Practice Dentistry
· NPI assigned 10/19/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
189 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
60 |
60 |
$1K |
| D1120 |
Prophylaxis - child |
28 |
28 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$784.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$628.94 |
| D0140 |
Limited oral evaluation - problem focused |
31 |
31 |
$592.72 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$346.71 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$279.16 |