HOMATI&KOLAHI A DENTAL CORPORATION
NPI: 1861814048
· CUDAHY, CA 90201
· Dentist
· NPI assigned 01/07/2014
Provider Details
| Authorized Official | KOLAHI, JAVAD (SECRETARY) |
| NPI Enumeration Date | 01/07/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,470 |
$18K |
| 2019 |
1,207 |
$20K |
| 2020 |
314 |
$8K |
| 2021 |
224 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
374 |
371 |
$14K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,661 |
510 |
$6K |
| D1120 |
Prophylaxis - child |
203 |
202 |
$6K |
| D2140 |
|
102 |
46 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
122 |
122 |
$5K |
| D0272 |
Bitewings - two radiographic images |
460 |
457 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
111 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
53 |
26 |
$4K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
100 |
100 |
$1K |