MOUSA, AMMAR
NPI: 1962413781
· WILDWOOD, FL 34785
· General Practice Dentistry
· NPI assigned 08/10/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
282 |
$3K |
| 2022 |
337 |
$2K |
| 2023 |
40 |
$540.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
62 |
62 |
$3K |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$1K |
| D1120 |
Prophylaxis - child |
70 |
69 |
$507.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
13 |
13 |
$260.00 |
| D0274 |
Bitewings - four radiographic images |
20 |
20 |
$51.00 |
| D1330 |
|
179 |
176 |
$22.00 |
| D1206 |
Topical application of fluoride varnish |
176 |
174 |
$19.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
49 |
48 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$0.00 |