KABIRI PREMIER DENTAL INC.
NPI: 1659808624
· SAN LEANDRO, CA 94577
· Dentist
· NPI assigned 05/22/2017
$208K
Total Medicaid Paid
Provider Details
| Authorized Official | KABIRI, AZITA (PRESIDENT) |
| NPI Enumeration Date | 05/22/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
620 |
$26K |
| 2019 |
957 |
$26K |
| 2020 |
1,007 |
$23K |
| 2021 |
1,895 |
$49K |
| 2022 |
2,534 |
$61K |
| 2023 |
1,091 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,370 |
1,342 |
$85K |
| D0210 |
Intraoral - complete series of radiographic images |
996 |
982 |
$47K |
| D0350 |
|
4,175 |
1,048 |
$39K |
| D9430 |
|
778 |
602 |
$25K |
| D1110 |
Prophylaxis - adult |
79 |
79 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
155 |
142 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
372 |
121 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
80 |
80 |
$1K |
| D0330 |
Panoramic radiographic image |
84 |
84 |
$832.50 |
| D0431 |
|
15 |
15 |
$0.00 |