DON SCHUBOTHE DENTAL, INC.
NPI: 1114140506
· MORENO VALLEY, CA 92553
· General Practice Dentistry
· NPI assigned 04/11/2007
Provider Details
| Authorized Official | SCHUBOTHE, DON (PRESIDENT) |
| NPI Enumeration Date | 04/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
75 |
$1K |
| 2019 |
13 |
$858.00 |
| 2021 |
30 |
$125.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$600.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
73 |
27 |
$260.55 |