NPI: 1023166600 · SAN FERNANDO, CA 91340 · Dental Clinic/Center · NPI assigned 01/08/2007
| Authorized Official | VAISMAN, ANATOLY (OWNER/DENTIST) |
| NPI Enumeration Date | 01/08/2007 |
| 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 |
| 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 |