SHAHRAM SABET DDS, PC
NPI: 1760675797
· VIENNA, VA 22180
· Dentist
· NPI assigned 08/22/2007
$823.16
Total Medicaid Paid
Provider Details
| Authorized Official | SABET, SHAHRAM (PRESIDENT) |
| NPI Enumeration Date | 08/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
93 |
$823.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
41 |
13 |
$357.76 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$241.80 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
28 |
$223.60 |