ANATOLY VAISAN DDS INC
NPI: 1023166600
· SAN FERNANDO, CA 91340
· Dental Clinic/Center
· NPI assigned 01/08/2007
Provider Details
| Authorized Official | VAISMAN, ANATOLY (OWNER/DENTIST) |
| NPI Enumeration Date | 01/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
225 |
$909.63 |
| 2019 |
245 |
$1K |
| 2020 |
113 |
$457.65 |
| 2021 |
114 |
$504.24 |
| 2022 |
61 |
$247.05 |
| 2023 |
56 |
$211.65 |
| 2024 |
27 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
788 |
191 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$720.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$274.00 |