EPIFANIA V NICOLAS
NPI: 1114376126
· REDLANDS, CA 92373
· Dentist
· NPI assigned 06/09/2016
Provider Details
| Authorized Official | NICOLAS, EPIFANIA (OFFICE MANAGER) |
| Parent Organization | NICOLAS DENTAL CORPORATION |
| NPI Enumeration Date | 06/09/2016 |
Related Entities
Other providers sharing the same authorized official: NICOLAS, EPIFANIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52 |
$2K |
| 2019 |
12 |
$792.00 |
| 2020 |
87 |
$4K |
| 2021 |
75 |
$5K |
| 2022 |
69 |
$4K |
| 2023 |
43 |
$218.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
153 |
149 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
57 |
12 |
$3K |
| D1110 |
Prophylaxis - adult |
30 |
30 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
41 |
38 |
$2K |
| D0330 |
Panoramic radiographic image |
14 |
12 |
$330.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
12 |
$218.70 |