ABETTAN, SAM
NPI: 1720517600
· WEST HEMPSTEAD, NY 11552
· Pediatric Dentist
· NPI assigned 06/05/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
654 |
$17K |
| 2020 |
269 |
$8K |
| 2021 |
329 |
$9K |
| 2022 |
571 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
472 |
472 |
$20K |
| D1206 |
Topical application of fluoride varnish |
514 |
514 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
446 |
446 |
$11K |
| D0272 |
Bitewings - two radiographic images |
180 |
180 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$975.00 |
| D0603 |
|
63 |
63 |
$620.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
16 |
13 |
$400.00 |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
56 |
$280.00 |
| D0601 |
|
25 |
25 |
$250.00 |
| D0602 |
|
12 |
12 |
$120.00 |