NPI: 1073649240 · MILPITAS, CA 95035 · General Practice Dentistry · NPI assigned 02/24/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,203 | $17K |
| 2019 | 1,024 | $17K |
| 2020 | 609 | $13K |
| 2021 | 169 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 545 | 543 | $21K |
| D1120 | Prophylaxis - child | 401 | 399 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,625 | 345 | $6K |
| D1110 | Prophylaxis - adult | 71 | 70 | $6K |
| D0274 | Bitewings - four radiographic images | 137 | 136 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 38 | 38 | $3K |
| D1351 | Sealant - per tooth | 62 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 113 | 112 | $934.00 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $120.00 |