NPI: 1114305075 · VISTA, CA 92083 · Dentist · NPI assigned 05/12/2015
| Authorized Official | LUU, CINDY (PRESIDENT) |
| NPI Enumeration Date | 05/12/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 454 | $2K |
| 2019 | 12 | $792.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 28 | 27 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 375 | 54 | $1K |
| D0272 | Bitewings - two radiographic images | 51 | 50 | $526.00 |
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $116.00 |