PRISTINE DENTAL, VU THANH THAI, DMD INC.
NPI: 1023372513
· SAN DIEGO, CA 92104
· Preferred Provider Organization
· NPI assigned 06/28/2012
Provider Details
| Authorized Official | THAI, VU (PRESIDENT) |
| NPI Enumeration Date | 06/28/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
785 |
$18K |
| 2019 |
316 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
152 |
148 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
134 |
130 |
$5K |
| D1110 |
Prophylaxis - adult |
54 |
54 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
284 |
279 |
$3K |
| D1120 |
Prophylaxis - child |
54 |
54 |
$2K |
| D0274 |
Bitewings - four radiographic images |
64 |
64 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
266 |
136 |
$950.10 |
| D0350 |
|
55 |
26 |
$480.00 |