XU, HONGBO
NPI: 1104051010
· SANTA MONICA, CA 90404
· General Practice Dentistry
· NPI assigned 05/20/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
112 |
$4K |
| 2023 |
287 |
$12K |
| 2024 |
254 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
140 |
139 |
$10K |
| D1110 |
Prophylaxis - adult |
110 |
110 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
72 |
72 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
226 |
215 |
$2K |
| D0274 |
Bitewings - four radiographic images |
69 |
68 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$630.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$352.00 |