SUMMY A ABBASSI DDS
NPI: 1710354006
· TARZANA, CA 91356
· Dental Clinic/Center
· NPI assigned 08/21/2015
Provider Details
| Authorized Official | ABBASSI, SUMMY (DENTIST) |
| NPI Enumeration Date | 08/21/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$792.00 |
| 2020 |
94 |
$4K |
| 2021 |
146 |
$6K |
| 2022 |
58 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
54 |
54 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
65 |
65 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
141 |
141 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
37 |
37 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$970.00 |