NPI: 1093257354 · NEWPORT BEACH, CA 92660 · General Practice Dentistry · NPI assigned 11/17/2016
| Authorized Official | LIU, CHELSEA (PRESIDENT) |
| NPI Enumeration Date | 11/17/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $1K |
| 2019 | 76 | $3K |
| 2020 | 219 | $2K |
| 2021 | 88 | $868.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 79 | 79 | $5K |
| D1206 | Topical application of fluoride varnish | 94 | 94 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $1K |
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $585.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 22 | 12 | $89.10 |
| D1999 | 111 | 103 | $0.00 | |
| D1330 | 81 | 80 | $0.00 |