JORN N OLIMPIADA DDS INC
NPI: 1124198619
· SAN LEANDRO, CA 94578
· General Practice Dentistry
· NPI assigned 11/09/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
215 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
56 |
56 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$756.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
87 |
44 |
$261.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$252.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$120.00 |