NPI: 1952945685 · RANDOLPH, MA 02368 · Dentist · NPI assigned 11/06/2019
Authorized official ALKHOURY, HOUSSAM controls 20+ related entities in our dataset. Read more
| Authorized Official | ALKHOURY, HOUSSAM (OWNER) |
| NPI Enumeration Date | 11/06/2019 |
Other providers sharing the same authorized official: ALKHOURY, HOUSSAM
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $4K |
| 2023 | 308 | $36K |
| 2024 | 787 | $75K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 303 | 298 | $85K |
| D1120 | Prophylaxis - child | 291 | 283 | $14K |
| D1206 | Topical application of fluoride varnish | 308 | 300 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 62 | 59 | $4K |
| D0120 | Periodic oral evaluation - established patient | 106 | 105 | $3K |
| D9310 | 12 | 12 | $756.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 15 | 15 | $444.00 |
| D0272 | Bitewings - two radiographic images | 13 | 13 | $416.00 |