NPI: 1144923756 · CALIMESA, CA 92320 · General Practice Dentistry · NPI assigned 03/23/2023
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| NPI Enumeration Date | 03/23/2023 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,564 | $58K |
| 2024 | 6,378 | $167K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 914 | 912 | $59K |
| D0350 | 3,236 | 839 | $30K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 464 | 139 | $25K |
| D0210 | Intraoral - complete series of radiographic images | 480 | 480 | $23K |
| D1120 | Prophylaxis - child | 329 | 329 | $16K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 33 | 28 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 677 | 677 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,033 | 452 | $9K |
| D2751 | Crown - porcelain fused to predominantly base metal | 15 | 12 | $7K |
| D1110 | Prophylaxis - adult | 70 | 70 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 94 | 52 | $6K |
| D1351 | Sealant - per tooth | 116 | 28 | $4K |
| D1320 | 216 | 216 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 35 | 15 | $4K |
| D0120 | Periodic oral evaluation - established patient | 26 | 26 | $2K |
| D0274 | Bitewings - four radiographic images | 88 | 88 | $2K |
| D1310 | 31 | 31 | $1K | |
| D0272 | Bitewings - two radiographic images | 61 | 61 | $708.00 |
| D9430 | 12 | 12 | $384.00 | |
| D0603 | 12 | 12 | $165.00 |