BOU MJAHED,DDS,PLLC
NPI: 1790279628
· CHARLOTTE, NC 28203
· Dental Clinic/Center
· NPI assigned 06/14/2018
Provider Details
| Authorized Official | MJAHED, KHALIL (OWNER/DENTIST) |
| NPI Enumeration Date | 06/14/2018 |
Related Entities
Other providers sharing the same authorized official: MJAHED, KHALIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
119 |
$6K |
| 2023 |
54 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
12 |
$4K |
| D1110 |
Prophylaxis - adult |
46 |
45 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$638.00 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
38 |
$588.80 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$586.45 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$163.54 |