NPI: 1104346246 · ARTESIA, CA 90701 · Dental Clinic/Center · NPI assigned 06/20/2017
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| Parent Organization | COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORP |
| NPI Enumeration Date | 06/20/2017 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31,985 | $1.24M |
| 2019 | 29,488 | $1.25M |
| 2020 | 19,777 | $699K |
| 2021 | 26,337 | $931K |
| 2022 | 23,763 | $1.08M |
| 2023 | 35,432 | $1.05M |
| 2024 | 38,511 | $1.20M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 15,594 | 15,559 | $890K |
| D1120 | Prophylaxis - child | 20,108 | 19,992 | $771K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5,175 | 2,137 | $602K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5,581 | 2,098 | $548K |
| D0230 | Intraoral - periapical each additional radiographic image | 51,180 | 21,440 | $519K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7,798 | 7,785 | $468K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 4,981 | 2,059 | $330K |
| D1351 | Sealant - per tooth | 12,411 | 3,257 | $320K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4,588 | 2,269 | $304K |
| D1208 | Topical application of fluoride, excluding varnish | 20,236 | 20,119 | $289K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2,329 | 1,127 | $272K |
| D7140 | Extraction, erupted tooth or exposed root | 4,334 | 2,292 | $246K |
| D1310 | 5,532 | 5,512 | $241K | |
| D0210 | Intraoral - complete series of radiographic images | 4,900 | 4,879 | $221K |
| D0274 | Bitewings - four radiographic images | 8,153 | 8,116 | $153K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3,596 | 3,513 | $143K |
| D9993 | 2,680 | 2,680 | $142K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 192 | 142 | $91K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,607 | 892 | $87K |
| D2140 | 1,384 | 779 | $75K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 138 | 129 | $63K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 786 | 441 | $62K |
| D1110 | Prophylaxis - adult | 799 | 793 | $61K |
| D0603 | 4,127 | 4,118 | $59K | |
| D7111 | 1,018 | 439 | $57K | |
| D0272 | Bitewings - two radiographic images | 4,482 | 4,454 | $50K |
| D9430 | 1,481 | 1,451 | $46K | |
| D2160 | 576 | 399 | $46K | |
| D2330 | 594 | 323 | $45K | |
| D0145 | Oral evaluation for a patient under three years of age | 655 | 655 | $43K |
| D0140 | Limited oral evaluation - problem focused | 1,127 | 1,114 | $39K |
| D1354 | 1,211 | 1,211 | $36K | |
| D0220 | Intraoral - periapical first radiographic image | 2,734 | 2,707 | $32K |
| D4341 | 430 | 131 | $29K | |
| D7240 | Removal of impacted tooth - completely bony | 96 | 38 | $22K |
| D0350 | 682 | 374 | $8K | |
| D0330 | Panoramic radiographic image | 796 | 796 | $8K |
| D1510 | 33 | 28 | $7K | |
| D0602 | 408 | 408 | $6K | |
| D1206 | Topical application of fluoride varnish | 301 | 301 | $5K |
| D0601 | 310 | 309 | $5K | |
| D8670 | Periodic orthodontic treatment visit | 16 | 16 | $5K |
| D2332 | 20 | 13 | $2K | |
| D0270 | 86 | 86 | $425.00 | |
| D1320 | 14 | 14 | $222.50 | |
| DR01 | 14 | 14 | $0.00 |