BABALOOEE, MEHRDAD
NPI: 1770220881
· DEKALB, IL 60115
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/19/2022
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
99 |
$2K |
| 2024 |
14 |
$365.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
24 |
$722.40 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$685.75 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$409.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$365.12 |
| D0220 |
Intraoral - periapical first radiographic image |
23 |
23 |
$152.03 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
20 |
$94.08 |