ABOSAMRA, GAMAL
NPI: 1922285055
· LANSING, MI 48910
· Dentist
· NPI assigned 01/31/2008
$103K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
432 |
$11K |
| 2019 |
260 |
$7K |
| 2020 |
245 |
$6K |
| 2021 |
323 |
$8K |
| 2022 |
699 |
$18K |
| 2023 |
1,021 |
$32K |
| 2024 |
666 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
635 |
614 |
$24K |
| D1110 |
Prophylaxis - adult |
499 |
496 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
623 |
622 |
$16K |
| D0220 |
Intraoral - periapical first radiographic image |
776 |
761 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
229 |
229 |
$9K |
| D1206 |
Topical application of fluoride varnish |
325 |
324 |
$8K |
| D1120 |
Prophylaxis - child |
138 |
138 |
$5K |
| D0274 |
Bitewings - four radiographic images |
151 |
150 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
270 |
250 |
$2K |