CHARISMA FAMILY DENTISTRY
NPI: 1023531647
· LAKEWOOD, CO 80232
· General Practice Dentistry
· NPI assigned 07/25/2017
Provider Details
| Authorized Official | LOZA, JESUS (OWNER) |
| NPI Enumeration Date | 07/25/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
233 |
$8K |
| 2020 |
269 |
$6K |
| 2021 |
599 |
$11K |
| 2022 |
747 |
$17K |
| 2023 |
768 |
$19K |
| 2024 |
434 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
774 |
771 |
$19K |
| D0460 |
|
507 |
455 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
669 |
651 |
$8K |
| D4346 |
|
168 |
167 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
451 |
445 |
$8K |
| D1110 |
Prophylaxis - adult |
80 |
79 |
$5K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
38 |
12 |
$4K |
| D1206 |
Topical application of fluoride varnish |
215 |
213 |
$4K |
| D0274 |
Bitewings - four radiographic images |
115 |
115 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
33 |
33 |
$1K |