SIDHOM, NADER
NPI: 1750126892
· FORT WASHINGTON, MD 20744
· Dentist
· NPI assigned 06/29/2024
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
133 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
21 |
21 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
23 |
23 |
$592.52 |
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$558.35 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$532.42 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$351.85 |
| D0230 |
Intraoral - periapical each additional radiographic image |
22 |
20 |
$223.87 |