NPI: 1134256969 · SAN FRANCISCO, CA 94103 · Dentist · NPI assigned 02/28/2007
| Authorized Official | PEGUEROS, ED (ASST DEAN, BUDGET & FIN ADMIN) |
| Parent Organization | UNIVERSITY OF THE PACIFIC |
| NPI Enumeration Date | 02/28/2007 |
Other providers sharing the same authorized official: PEGUEROS, ED
| Provider | City | State | Total Paid |
|---|---|---|---|
| UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY | SAN FRANCISCO | CA | $3.99M |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $1.99M |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $1.78M |
| UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY | SAN FRANCISCO | CA | $1.03M |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $709K |
| UNIVERSITY OF THE PACIFIC | UNION CITY | CA | $264K |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $83K |
| UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY | SAN FRANCISCO | CA | $64K |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $21K |
| UNIVERSITY OF THE PACIFIC | UNION CITY | CA | $16K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 681 | $28K |
| 2019 | 506 | $23K |
| 2020 | 408 | $18K |
| 2021 | 615 | $24K |
| 2022 | 1,789 | $54K |
| 2023 | 1,400 | $52K |
| 2024 | 1,013 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,443 | 1,440 | $79K |
| D1110 | Prophylaxis - adult | 987 | 987 | $60K |
| D0150 | Comprehensive oral evaluation - new or established patient | 455 | 455 | $28K |
| D9999 | Unspecified adjunctive procedure, by report | 1,059 | 987 | $26K |
| D0274 | Bitewings - four radiographic images | 836 | 835 | $13K |
| D1206 | Topical application of fluoride varnish | 1,013 | 1,013 | $12K |
| D0330 | Panoramic radiographic image | 301 | 301 | $9K |
| D9920 | 48 | 47 | $6K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 68 | 54 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 74 | 26 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 37 | 24 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 26 | 25 | $306.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 65 | 24 | $251.10 |