ALWATTAR, RAGHAD
NPI: 1720572282
· FARMINGTON HILLS, MI 48331
· General Practice Dentistry
· NPI assigned 06/19/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
341 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
58 |
58 |
$1K |
| D1206 |
Topical application of fluoride varnish |
62 |
62 |
$885.00 |
| D1351 |
Sealant - per tooth |
33 |
12 |
$550.00 |
| D1354 |
|
140 |
34 |
$510.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$395.25 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$324.52 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$140.00 |