KHAJADOUR DONABEDIAN DDS INC
NPI: 1801437520
· PASADENA, CA 91107
· Dental Clinic/Center
· NPI assigned 10/03/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$2K |
| 2021 |
173 |
$10K |
| 2022 |
157 |
$10K |
| 2023 |
378 |
$21K |
| 2024 |
534 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
475 |
471 |
$31K |
| D1110 |
Prophylaxis - adult |
167 |
167 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
151 |
150 |
$11K |
| D4341 |
|
107 |
28 |
$7K |
| D0210 |
Intraoral - complete series of radiographic images |
152 |
152 |
$7K |
| D4910 |
|
66 |
66 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
65 |
$786.00 |
| D0274 |
Bitewings - four radiographic images |
31 |
31 |
$648.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
54 |
24 |
$218.70 |