ABRAHAM, SIMI
NPI: 1891007548
· CARROLLTON, TX 75010
· General Practice Dentistry
· NPI assigned 07/10/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
563 |
$11K |
| 2022 |
365 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
137 |
131 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
26 |
26 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
107 |
101 |
$3K |
| D1206 |
Topical application of fluoride varnish |
193 |
186 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
42 |
$1K |
| D0272 |
Bitewings - two radiographic images |
39 |
38 |
$841.68 |
| D0230 |
Intraoral - periapical each additional radiographic image |
56 |
38 |
$494.93 |
| D0220 |
Intraoral - periapical first radiographic image |
42 |
40 |
$477.28 |
| D0603 |
|
272 |
265 |
$0.00 |
| D0602 |
|
13 |
12 |
$0.00 |