SHABAHAT, ANDLEEB
NPI: 1659609865
· LODI, NJ 07644
· General Practice Dentistry
· NPI assigned 11/28/2009
$315.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$60.00 |
| 2021 |
39 |
$255.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$144.00 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$135.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$36.00 |