LOTFI, POUYAN
NPI: 1730118647
· PALO ALTO, CA 94303
· General Practice Dentistry
· NPI assigned 07/02/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
401 |
$7K |
| 2019 |
254 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
193 |
193 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
103 |
103 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
169 |
99 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
113 |
113 |
$1K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$871.52 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$407.03 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$358.80 |