TARIK JBARAH DMD LLC
NPI: 1790152205
· HANOVER, PA 17331
· Dental Clinic/Center
· NPI assigned 09/01/2015
$284.64
Total Medicaid Paid
Provider Details
| Authorized Official | LEAS, ANDI (FRONT OFFICE) |
| Parent Organization | TARIK JBARAH DMD LLC |
| NPI Enumeration Date | 09/01/2015 |
Related Entities
Other providers sharing the same authorized official: LEAS, ANDI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$284.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$284.64 |