NPI: 1063016970 · LEMON GROVE, CA 91945 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 194 | $11K |
| 2022 | 510 | $19K |
| 2023 | 2,065 | $57K |
| 2024 | 1,941 | $58K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 360 | 359 | $24K | |
| D9430 | 727 | 663 | $23K | |
| D1110 | 239 | 238 | $21K | |
| D4910 | 243 | 243 | $18K | |
| D2392 | 161 | 73 | $11K | |
| D0210 | 223 | 223 | $11K | |
| D0120 | 130 | 130 | $10K | |
| D0350 | 937 | 243 | $8K | |
| D1206 | 301 | 300 | $5K | |
| D0274 | 249 | 249 | $5K | |
| D0230 | 958 | 480 | $4K | |
| D4341 | 40 | 12 | $3K | |
| D1120 | 30 | 30 | $2K | |
| D2391 | 25 | 12 | $1K | |
| D0220 | 45 | 44 | $540.00 | |
| D1208 | 30 | 30 | $472.50 | |
| D1320 | 12 | 12 | $210.00 |