NPI: 1043386105 · CARLSBAD, CA 92008 · General Practice Dentistry · NPI assigned 11/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 248 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 57 | 57 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 14 | 14 | $1K |
| D1110 | Prophylaxis - adult | 25 | 25 | $954.24 |
| D0220 | Intraoral - periapical first radiographic image | 79 | 77 | $940.22 |
| D0274 | Bitewings - four radiographic images | 26 | 26 | $731.64 |
| D0150 | Comprehensive oral evaluation - new or established patient | 18 | 18 | $672.30 |
| D0230 | Intraoral - periapical each additional radiographic image | 29 | 29 | $487.90 |