RAFIK RIAD DDS INC
NPI: 1669146478
· POWAY, CA 92064
· Dental Clinic/Center
· NPI assigned 08/04/2021
Provider Details
| Authorized Official | FLATTEM, ALLECIA (OPERATIONS MANAGER) |
| NPI Enumeration Date | 08/04/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
42 |
$3K |
| 2024 |
331 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
159 |
159 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
96 |
96 |
$5K |
| D1110 |
Prophylaxis - adult |
45 |
45 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
26 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$815.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$232.00 |