SABA, MARYAM
NPI: 1700993235
· SPRINGFIELD, VA 22152
· General Practice Dentistry
· NPI assigned 08/23/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51 |
$1K |
| 2019 |
58 |
$1K |
| 2020 |
25 |
$489.95 |
| 2022 |
28 |
$915.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
86 |
86 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
63 |
63 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$613.47 |