DEAN AZZEH , DDS INC.
NPI: 1669077749
· TUSTIN, CA 92780
· Dental Clinic/Center
· NPI assigned 12/04/2020
$518K
Total Medicaid Paid
Provider Details
| Authorized Official | AZZEH, DEAN (PRESIDENT/OWNER) |
| NPI Enumeration Date | 12/04/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,264 |
$140K |
| 2022 |
1,226 |
$136K |
| 2023 |
887 |
$115K |
| 2024 |
1,075 |
$127K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
678 |
678 |
$196K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
830 |
382 |
$99K |
| D7240 |
Removal of impacted tooth - completely bony |
393 |
165 |
$90K |
| D7230 |
|
328 |
154 |
$62K |
| D0330 |
Panoramic radiographic image |
1,229 |
1,178 |
$36K |
| D0140 |
Limited oral evaluation - problem focused |
994 |
943 |
$34K |