REZAIE, AZADEH
NPI: 1740663848
· ARTESIA, CA 90701
· General Practice Dentistry
· NPI assigned 07/07/2015
$953.64
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
39 |
$953.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$396.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$333.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$224.64 |