YKAO-DAMAN, BASIMA
NPI: 1639210693
· HAZEL PARK, MI 48030
· Dentist
· NPI assigned 02/10/2007
$619.02
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$619.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$319.02 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$300.00 |