COMMUNITY DENTAL SERVICES
NPI: 1073685780
· CITRUS HEIGHTS, CA 95610
· Dentist
· NPI assigned 11/15/2006
Provider Details
| Authorized Official | SALCIDO, ELAINE (CONTRACT SUPERVISOR) |
| NPI Enumeration Date | 11/15/2006 |
Related Entities
Other providers sharing the same authorized official: SALCIDO, ELAINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
904 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
249 |
195 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
255 |
241 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
271 |
256 |
$6K |
| D9430 |
|
41 |
39 |
$800.00 |
| D8660 |
|
15 |
14 |
$300.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
38 |
$132.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$120.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
12 |
$60.00 |