SAWSAN ABOUSY,DDS.,MSC.,PC
NPI: 1831218189
· SPRINGFIELD, VA 22150
· General Practice Dentistry
· NPI assigned 03/28/2007
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | ABOUSY, SAWSAN (PRACTITIONER) |
| NPI Enumeration Date | 03/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
903 |
$19K |
| 2019 |
1,056 |
$21K |
| 2020 |
1,182 |
$22K |
| 2021 |
1,083 |
$22K |
| 2022 |
1,136 |
$30K |
| 2023 |
482 |
$6K |
| 2024 |
266 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
589 |
586 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
954 |
947 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,472 |
724 |
$16K |
| D1206 |
Topical application of fluoride varnish |
700 |
697 |
$14K |
| D0274 |
Bitewings - four radiographic images |
476 |
476 |
$12K |
| D1120 |
Prophylaxis - child |
300 |
300 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
868 |
848 |
$9K |
| D9610 |
|
339 |
330 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
182 |
170 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
28 |
13 |
$3K |
| D9630 |
|
145 |
145 |
$3K |
| D9920 |
|
13 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
42 |
40 |
$248.30 |