NPI: 1003588302 · FONTANA, CA 92335 · General Practice Dentistry · NPI assigned 10/05/2021
| Authorized Official | SHAH, SHRIRAJ (OWNER DENTIST) |
| NPI Enumeration Date | 10/05/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 616 | $31K |
| 2023 | 2,489 | $221K |
| 2024 | 4,842 | $438K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2751 | 674 | 462 | $321K | |
| D2954 | 623 | 430 | $65K | |
| D0150 | 881 | 844 | $58K | |
| D4341 | 638 | 174 | $45K | |
| D0210 | 806 | 774 | $38K | |
| D1110 | 382 | 381 | $33K | |
| D3320 | 89 | 78 | $33K | |
| D9110 | 220 | 209 | $14K | |
| D4910 | 172 | 172 | $13K | |
| D2392 | 171 | 82 | $11K | |
| D1120 | 204 | 184 | $10K | |
| D0120 | 126 | 126 | $10K | |
| D0230 | 1,833 | 396 | $8K | |
| D1206 | 412 | 412 | $7K | |
| D3330 | 14 | 13 | $6K | |
| D0274 | 247 | 246 | $5K | |
| D1208 | 258 | 229 | $4K | |
| D9430 | 100 | 98 | $3K | |
| D2393 | 31 | 15 | $2K | |
| D4342 | 39 | 12 | $2K | |
| D2391 | 27 | 13 | $1K |