NPI: 1043411457 · MAYWOOD, CA 90270 · Dentist · NPI assigned 05/31/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 526 | $6K |
| 2019 | 877 | $19K |
| 2020 | 311 | $7K |
| 2021 | 253 | $5K |
| 2022 | 452 | $10K |
| 2023 | 574 | $11K |
| 2024 | 547 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9430 | 1,336 | 1,055 | $43K | |
| D0220 | Intraoral - periapical first radiographic image | 1,092 | 773 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 103 | 101 | $5K |
| D1110 | Prophylaxis - adult | 52 | 51 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 705 | 185 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 216 | 214 | $2K |
| D0120 | Periodic oral evaluation - established patient | 36 | 36 | $2K |