ZETOUNA, MAHA
NPI: 1932260791
· CANTON, MI 48187
· General Practice Dentistry
· NPI assigned 12/13/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
123 |
$3K |
| 2020 |
104 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
58 |
57 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
65 |
56 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
28 |
27 |
$888.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$747.00 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$720.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
21 |
21 |
$456.00 |
| D1999 |
|
18 |
17 |
$0.00 |