ISMAIL DENTAL GROUP, PLLC
NPI: 1942609516
· IRVING, TX 75039
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 08/19/2014
Provider Details
| Authorized Official | ISMAIL, HADIA (DENTIST/OWNER) |
| NPI Enumeration Date | 08/19/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
74 |
$771.75 |
| 2022 |
183 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
70 |
$955.38 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$423.84 |
| D0230 |
Intraoral - periapical each additional radiographic image |
38 |
17 |
$414.36 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$404.25 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$403.90 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
17 |
$200.96 |
| D0603 |
|
91 |
90 |
$0.00 |