SANDOUK, KEENAN
NPI: 1972111029
· PROVIDENCE, RI 02908
· Student in an Organized Health Care Education/Training Program
· NPI assigned 07/15/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
470 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
264 |
256 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
98 |
81 |
$389.88 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
27 |
$180.00 |
| D0274 |
Bitewings - four radiographic images |
33 |
26 |
$144.00 |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
14 |
$110.00 |
| D0601 |
|
25 |
25 |
$0.00 |