NPI: 1053823542 · YORBA LINDA, CA 92887 · Dental Clinic/Center · NPI assigned 10/25/2017
| Authorized Official | GILL, JASMINE (OWNER) |
| NPI Enumeration Date | 10/25/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 51 | $2K |
| 2023 | 53 | $1K |
| 2024 | 104 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29 | 29 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 106 | 106 | $2K |
| D1120 | Prophylaxis - child | 25 | 25 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 24 | 24 | $1K |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $925.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 12 | 12 | $267.30 |