ALI SHAHZAD- GHAJAR DDS INC
NPI: 1801038252
· ONTARIO, CA 91764
· Dentist
· NPI assigned 04/01/2009
$102K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,020 |
$54K |
| 2019 |
2,305 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
901 |
901 |
$34K |
| D1120 |
Prophylaxis - child |
920 |
919 |
$27K |
| D0274 |
Bitewings - four radiographic images |
652 |
652 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
996 |
995 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
97 |
97 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,341 |
542 |
$5K |
| D0272 |
Bitewings - two radiographic images |
272 |
271 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
40 |
27 |
$3K |
| D1351 |
Sealant - per tooth |
67 |
14 |
$1K |
| D0350 |
|
39 |
24 |
$252.00 |