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COMPREHENSIVE DENTAL PRACTICE ORTHODONTICS & IMPLANTS
COMPREHENSIVE DENTAL PRACTICE ORTHODONTICS & IMPLANTS
NPI: 1043399645
· DELANO, CA 93215
· General Practice Dentistry
· NPI assigned 11/03/2006
$254K
Total Medicaid Paid
Provider Details
| Authorized Official | DELOS REYES, NOEL (DENTIST/PRESIDENT) |
| NPI Enumeration Date | 11/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,589 |
$48K |
| 2019 |
2,574 |
$42K |
| 2020 |
2,324 |
$33K |
| 2021 |
2,589 |
$44K |
| 2022 |
3,826 |
$76K |
| 2023 |
840 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
777 |
776 |
$47K |
| D1110 |
Prophylaxis - adult |
577 |
577 |
$45K |
| D0230 |
Intraoral - periapical each additional radiographic image |
9,299 |
2,095 |
$40K |
| D0274 |
Bitewings - four radiographic images |
1,635 |
1,627 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
542 |
539 |
$26K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
387 |
237 |
$25K |
| D1120 |
Prophylaxis - child |
607 |
604 |
$19K |
| D9430 |
|
186 |
182 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
508 |
505 |
$5K |
| D2140 |
|
63 |
38 |
$3K |
| D2160 |
|
38 |
31 |
$3K |
| D1206 |
Topical application of fluoride varnish |
98 |
98 |
$2K |
| D0270 |
|
25 |
25 |
$125.00 |