DR RUSEN EMPIRE FRIENDLY SMILES DENTAL INC
NPI: 1083296941
· SAN BERNARDINO, CA 92408
· General Practice Dentistry
· NPI assigned 04/21/2021
Provider Details
| Authorized Official | RUSEN, RARES (PRESIDENT) |
| NPI Enumeration Date | 04/21/2021 |
Related Entities
Other providers sharing the same authorized official: RUSEN, RARES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
4,216 |
$59K |
| 2023 |
2,450 |
$24K |
| 2024 |
513 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0350 |
|
2,563 |
602 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
302 |
281 |
$20K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,255 |
602 |
$14K |
| D1120 |
Prophylaxis - child |
112 |
112 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
81 |
50 |
$5K |
| D0274 |
Bitewings - four radiographic images |
253 |
235 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
240 |
232 |
$4K |
| D9430 |
|
96 |
85 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
206 |
170 |
$2K |
| D9110 |
|
35 |
12 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$2K |
| D0272 |
Bitewings - two radiographic images |
19 |
19 |
$228.00 |