POULDAR KIMIA AND LORENZ DENTAL PARTNERSHIP
NPI: 1639624463
· SHERMAN OAKS, CA 91411
· Periodontist
· NPI assigned 08/22/2016
Provider Details
| Authorized Official | KIMIA, DARA (PRESIDENT) |
| NPI Enumeration Date | 08/22/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
42 |
$2K |
| 2023 |
326 |
$10K |
| 2024 |
142 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
111 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
29 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$990.00 |
| D9430 |
|
30 |
28 |
$960.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
208 |
37 |
$816.14 |
| D0274 |
Bitewings - four radiographic images |
34 |
34 |
$712.80 |
| D0350 |
|
71 |
25 |
$662.40 |