JAIRO SEPULVEDA DDS, INC.
NPI: 1093229114
· LINDSAY, CA 93247
· Dental Clinic/Center
· NPI assigned 11/28/2017
Provider Details
| Authorized Official | SEPULVEDA, JAIRO (DENTIST/ OWNER) |
| NPI Enumeration Date | 11/28/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
178 |
$9K |
| 2019 |
138 |
$8K |
| 2020 |
15 |
$990.00 |
| 2021 |
62 |
$4K |
| 2022 |
152 |
$9K |
| 2023 |
350 |
$19K |
| 2024 |
286 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
678 |
675 |
$43K |
| D0330 |
Panoramic radiographic image |
234 |
234 |
$7K |
| D7140 |
Extraction, erupted tooth or exposed root |
105 |
31 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
99 |
97 |
$4K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$2K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$970.00 |