ISAKOV, SOLOMON
NPI: 1922569318
· FAIRLAWN, OH 44333
· General Practice Dentistry
· NPI assigned 03/27/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
139 |
$2K |
| 2020 |
350 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
84 |
14 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
70 |
70 |
$2K |
| D1120 |
Prophylaxis - child |
50 |
50 |
$1K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$962.00 |
| D1206 |
Topical application of fluoride varnish |
48 |
48 |
$864.00 |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$585.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$429.00 |
| D0603 |
|
39 |
39 |
$390.00 |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
52 |
$312.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
48 |
48 |
$195.00 |
| D0272 |
Bitewings - two radiographic images |
20 |
20 |
$160.00 |