NPI: 1659708154 · GAITHERSBURG, MD 20878 · Dentist · NPI assigned 09/30/2013
| Authorized Official | POURAHMAD-HAGHIGHI, PAYAM (OWNER) |
| NPI Enumeration Date | 09/30/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 495 | $14K |
| 2019 | 404 | $11K |
| 2020 | 13 | $323.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 416 | 416 | $10K |
| D1120 | Prophylaxis - child | 145 | 145 | $6K |
| D0120 | Periodic oral evaluation - established patient | 183 | 183 | $5K |
| D0274 | Bitewings - four radiographic images | 58 | 58 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 24 | $1K |
| D0330 | Panoramic radiographic image | 13 | 13 | $546.00 |
| D1208 | Topical application of fluoride, excluding varnish | 18 | 18 | $414.00 |
| D1330 | 55 | 55 | $330.00 |