NPI: 1023503232 · LOS ANGELES, CA 90017 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 156 | $4K |
| 2020 | 199 | $4K |
| 2021 | 1,373 | $38K |
| 2022 | 2,677 | $71K |
| 2023 | 4,464 | $162K |
| 2024 | 5,905 | $284K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,079 | 1,070 | $94K | |
| D2740 | 187 | 142 | $89K | |
| D0150 | 1,060 | 1,052 | $70K | |
| D9430 | 1,816 | 1,570 | $57K | |
| D0120 | 462 | 462 | $37K | |
| D2392 | 476 | 225 | $32K | |
| D2393 | 357 | 168 | $28K | |
| D4341 | 350 | 96 | $24K | |
| D1206 | 1,357 | 1,348 | $23K | |
| D0274 | 834 | 828 | $18K | |
| D4910 | 219 | 219 | $16K | |
| D0350 | 1,748 | 828 | $15K | |
| D0210 | 306 | 301 | $14K | |
| D0230 | 3,415 | 1,312 | $14K | |
| D0220 | 693 | 637 | $8K | |
| D7210 | 55 | 24 | $6K | |
| D3221 | 78 | 55 | $5K | |
| D2335 | 27 | 14 | $3K | |
| D2332 | 40 | 13 | $3K | |
| D1120 | 57 | 57 | $3K | |
| D2391 | 47 | 14 | $3K | |
| D1208 | 111 | 111 | $1K |