TEJDEEP S RATTAN DDS INC
NPI: 1043834468
· TRACY, CA 95376
· Dental Clinic/Center
· NPI assigned 06/01/2020
Provider Details
| Authorized Official | RATTAN, TEJDEEP (PRESIDENT) |
| NPI Enumeration Date | 06/01/2020 |
Related Entities
Other providers sharing the same authorized official: RATTAN, TEJDEEP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$792.00 |
| 2021 |
124 |
$7K |
| 2022 |
25 |
$1K |
| 2023 |
254 |
$11K |
| 2024 |
442 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
303 |
302 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
179 |
179 |
$9K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$2K |
| D9430 |
|
45 |
44 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
13 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
88 |
87 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
174 |
115 |
$704.70 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$577.50 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$156.00 |