NPI: 1093921421 · CORONA, CA 92882 · Dentist · NPI assigned 05/15/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 304 | $14K |
| 2023 | 238 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 108 | 104 | $9K |
| D1110 | Prophylaxis - adult | 85 | 70 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 49 | 42 | $3K |
| D1120 | Prophylaxis - child | 36 | 36 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 95 | 90 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 156 | 51 | $631.80 |
| D0210 | Intraoral - complete series of radiographic images | 13 | 12 | $624.00 |