JAFRI, AHMAD
NPI: 1699087973
· MIDLAND, TX 79701
· Dentist
· NPI assigned 07/02/2010
$417.76
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
104 |
$417.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
20 |
14 |
$173.04 |
| D1206 |
Topical application of fluoride varnish |
20 |
14 |
$88.20 |
| D0220 |
Intraoral - periapical first radiographic image |
22 |
15 |
$81.64 |
| D0230 |
Intraoral - periapical each additional radiographic image |
22 |
15 |
$74.88 |
| D0603 |
|
20 |
14 |
$0.00 |