SUMABAT DENTAL CORPORATION
NPI: 1043303746
· PALM SPRINGS, CA 92262
· Dentist
· NPI assigned 10/02/2006
Provider Details
| Authorized Official | SUMABAT, RAMON (PRESIDENT) |
| NPI Enumeration Date | 10/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
143 |
$5K |
| 2019 |
168 |
$5K |
| 2020 |
115 |
$4K |
| 2021 |
112 |
$4K |
| 2022 |
97 |
$7K |
| 2023 |
76 |
$5K |
| 2024 |
74 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
449 |
449 |
$24K |
| D1120 |
Prophylaxis - child |
192 |
192 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
119 |
119 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$858.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.00 |