NPI: 1104442995 · FRESNO, CA 93711 · Advanced Practice Dental Therapist · NPI assigned 06/18/2020
| Authorized Official | GONZALES, RHODA (OWNER) |
| NPI Enumeration Date | 06/18/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,141 | $52K |
| 2022 | 2,298 | $108K |
| 2023 | 2,343 | $106K |
| 2024 | 2,484 | $112K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,441 | 1,439 | $129K |
| D4355 | 781 | 779 | $82K | |
| D9410 | 2,535 | 2,350 | $71K | |
| D1206 | Topical application of fluoride varnish | 2,346 | 2,323 | $44K |
| D1120 | Prophylaxis - child | 563 | 562 | $29K |
| D1310 | 305 | 305 | $14K | |
| D1351 | Sealant - per tooth | 88 | 25 | $3K |
| D9920 | 21 | 21 | $3K | |
| D0602 | 130 | 130 | $2K | |
| D0603 | 56 | 56 | $825.00 |