JAK DENTAL, PLLC
NPI: 1902351414
· DALLAS, TX 75217
· Dentist
· NPI assigned 08/25/2016
Provider Details
| Authorized Official | KASHANI, HAMID (MEMBER) |
| NPI Enumeration Date | 08/25/2016 |
Related Entities
Other providers sharing the same authorized official: KASHANI, HAMID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
69 |
$998.68 |
| 2019 |
95 |
$4K |
| 2020 |
114 |
$4K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
42 |
13 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
12 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
41 |
40 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$953.64 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$918.32 |
| D1208 |
Topical application of fluoride, excluding varnish |
48 |
48 |
$705.60 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$477.75 |
| D0603 |
|
76 |
76 |
$0.00 |