ELIA, BACHAR
NPI: 1144389065
· SAN FERNANDO, CA 91340
· Dentist
· NPI assigned 12/06/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
155 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$765.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$682.50 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$387.50 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$237.60 |
| D0230 |
Intraoral - periapical each additional radiographic image |
64 |
16 |
$145.80 |
| D1330 |
|
23 |
23 |
$0.00 |