KAYLA KOO DENTAL GROUP, INC
NPI: 1134827959
· LOS ANGELES, CA 90004
· Dentist
· NPI assigned 02/21/2023
Provider Details
| Authorized Official | KOO, KAYLA (CEO) |
| NPI Enumeration Date | 02/21/2023 |
Related Entities
Other providers sharing the same authorized official: KOO, KAYLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
344 |
$17K |
| 2024 |
1,073 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
366 |
366 |
$24K |
| D0210 |
Intraoral - complete series of radiographic images |
303 |
303 |
$14K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
21 |
13 |
$10K |
| D1110 |
Prophylaxis - adult |
85 |
85 |
$8K |
| D1206 |
Topical application of fluoride varnish |
301 |
301 |
$5K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
22 |
13 |
$3K |
| D1120 |
Prophylaxis - child |
38 |
38 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
26 |
12 |
$2K |
| D0274 |
Bitewings - four radiographic images |
61 |
61 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
194 |
93 |
$785.70 |