ISIS MASSOUD, DDS
NPI: 1841538923
· TEMPLE HILLS, MD 20748
· Dentist
· NPI assigned 01/23/2013
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | MASSOUD, ISIS (DOCTOR) |
| NPI Enumeration Date | 01/23/2013 |
Related Entities
Other providers sharing the same authorized official: MASSOUD, ISIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,493 |
$46K |
| 2019 |
1,173 |
$33K |
| 2020 |
1,890 |
$64K |
| 2021 |
270 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
505 |
497 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
929 |
909 |
$27K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,173 |
1,149 |
$27K |
| D1120 |
Prophylaxis - child |
478 |
465 |
$20K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
158 |
84 |
$18K |
| D1351 |
Sealant - per tooth |
373 |
45 |
$12K |
| D0274 |
Bitewings - four radiographic images |
385 |
384 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
83 |
81 |
$4K |
| D1330 |
|
664 |
656 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
61 |
$594.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$518.40 |