ELGRICHI HAROUNI DENTAL CORP
NPI: 1679200406
· LOS ANGELES, CA 90041
· Dental Clinic/Center
· NPI assigned 08/02/2022
Provider Details
| Authorized Official | HAROUNI, NIMA (PRINCIPAL) |
| NPI Enumeration Date | 08/02/2022 |
Related Entities
Other providers sharing the same authorized official: HAROUNI, NIMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
258 |
$7K |
| 2024 |
1,961 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
409 |
409 |
$27K |
| D2740 |
Crown - porcelain/ceramic |
38 |
30 |
$18K |
| D1110 |
Prophylaxis - adult |
57 |
57 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,052 |
223 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
84 |
84 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
165 |
165 |
$2K |
| D0350 |
|
240 |
86 |
$2K |
| D0274 |
Bitewings - four radiographic images |
100 |
100 |
$2K |
| D9430 |
|
33 |
30 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$928.20 |
| D4910 |
|
12 |
12 |
$847.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$144.00 |