HAFA ADAI FAMILY DENTAL PC
NPI: 1104987106
· TAMUNING, GU 96913
· General Practice Dentistry
· NPI assigned 12/13/2006
Provider Details
| Authorized Official | MARUTANI, DAVID (OWNER VP) |
| NPI Enumeration Date | 12/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
40 |
$912.00 |
| 2023 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
27 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
40 |
$570.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$516.00 |