ALHAMBRA GARFIELD DENTAL INC
NPI: 1124571666
· ALHAMBRA, CA 91801
· General Practice Dentistry
· NPI assigned 08/02/2016
Provider Details
| Authorized Official | YAZDANI, SOHRAB (DENTIST OWNER) |
| NPI Enumeration Date | 08/02/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
472 |
$4K |
| 2019 |
92 |
$702.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
120 |
116 |
$770.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
21 |
20 |
$715.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
288 |
91 |
$684.30 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$605.00 |
| D1120 |
Prophylaxis - child |
19 |
19 |
$603.00 |
| D1206 |
Topical application of fluoride varnish |
32 |
32 |
$588.00 |
| D0272 |
Bitewings - two radiographic images |
60 |
59 |
$440.00 |