EYVAZI, ALEXI
NPI: 1972723849
· SHERMAN OAKS, CA 91423
· General Practice Dentistry
· NPI assigned 04/26/2007
$986.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
554 |
$434.00 |
| 2019 |
174 |
$36.00 |
| 2020 |
35 |
$12.00 |
| 2022 |
112 |
$432.50 |
| 2023 |
26 |
$72.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$267.50 |
| D9430 |
|
276 |
250 |
$204.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
55 |
51 |
$203.00 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$110.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$60.00 |
| D0220 |
Intraoral - periapical first radiographic image |
83 |
76 |
$55.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$54.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$19.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
147 |
61 |
$13.20 |
| D1330 |
|
262 |
233 |
$0.00 |