KHANNA, ELISA
NPI: 1760892384
· FLORAL PARK, NY 11001
· Dentist
· NPI assigned 05/05/2014
$101K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
27 |
$917.80 |
| 2021 |
846 |
$20K |
| 2022 |
1,064 |
$24K |
| 2023 |
1,621 |
$34K |
| 2024 |
868 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
1,206 |
1,206 |
$50K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
471 |
471 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
475 |
475 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
926 |
916 |
$9K |
| D0274 |
Bitewings - four radiographic images |
423 |
423 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
545 |
524 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
277 |
277 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
76 |
76 |
$720.24 |
| D1330 |
|
27 |
27 |
$0.00 |