KHATAMI, SEDIGHEH
NPI: 1831264985
· TUSTIN, CA 92780
· Dentist
· NPI assigned 11/22/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,849 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
255 |
255 |
$8K |
| D1120 |
Prophylaxis - child |
156 |
156 |
$5K |
| D1110 |
Prophylaxis - adult |
65 |
65 |
$4K |
| D0274 |
Bitewings - four radiographic images |
160 |
160 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
305 |
304 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
698 |
223 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
198 |
177 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$420.00 |