M GABER HASSAN CORP
NPI: 1649821471
· BALTIMORE, MD 21222
· Dental Clinic/Center
· NPI assigned 09/23/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: HASSAN, MOHAMED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
769 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
15 |
13 |
$11K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
19 |
13 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
124 |
117 |
$6K |
| D1110 |
Prophylaxis - adult |
73 |
73 |
$5K |
| D1206 |
Topical application of fluoride varnish |
124 |
124 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
85 |
85 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$2K |
| D2950 |
|
25 |
16 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
175 |
171 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$586.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
51 |
50 |
$367.36 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$264.77 |
| D1330 |
|
12 |
12 |
$86.40 |