ALEEMUDDIN, AZAM
NPI: 1700368792
· LA VERNE, CA 91750
· Dentist
· NPI assigned 09/05/2018
$927.05
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
94 |
$927.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
25 |
$706.55 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$220.50 |
| D0603 |
|
53 |
52 |
$0.00 |