MICHAEL CHANG ONTARIO DENTAL CORP
NPI: 1033949581
· ONTARIO, CA 91764
· Dental Clinic/Center
· NPI assigned 08/07/2024
Provider Details
| Authorized Official | CHANG, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 08/07/2024 |
Related Entities
Other providers sharing the same authorized official: CHANG, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
170 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$735.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
117 |
24 |
$473.85 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$333.50 |