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SIMONA D. KISS D.D.S. PROFESSIONAL DENTAL CORPORATION
SIMONA D. KISS D.D.S. PROFESSIONAL DENTAL CORPORATION
NPI: 1124423066
· TUSTIN, CA 92780
· Preferred Provider Organization
· NPI assigned 11/04/2014
Provider Details
| Authorized Official | KISS, SIMONA (DENTIST, DIRECTOR) |
| NPI Enumeration Date | 11/04/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
95 |
$2K |
| 2019 |
69 |
$3K |
| 2020 |
136 |
$3K |
| 2021 |
12 |
$540.00 |
| 2022 |
39 |
$368.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
113 |
113 |
$4K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$2K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$750.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
138 |
69 |
$586.05 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$518.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$200.00 |