SHAYEGAN, ADEL
NPI: 1801900246
· AVONDALE, AZ 85323
· Dentist
· NPI assigned 08/19/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
360 |
$0.00 |
| 2019 |
66 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
91 |
74 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
119 |
94 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
114 |
92 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
75 |
72 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$0.00 |