ALI, KASIM
NPI: 1780773366
· CHESTERFIELD, MI 48047
· General Practice Dentistry
· NPI assigned 10/12/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
152 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
36 |
16 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
64 |
64 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$648.00 |
| D1120 |
Prophylaxis - child |
20 |
20 |
$615.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
20 |
20 |
$375.00 |