ELIAS, ELLIOTT, LAMPASI, FEHN, & HARRIS ADP
NPI: 1154497212
· RIVERSIDE, CA 92506
· General Practice Dentistry
· NPI assigned 11/28/2006
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | MA, DON (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 11/28/2006 |
Related Entities
Other providers sharing the same authorized official: MA, DON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,043 |
$30K |
| 2019 |
1,659 |
$27K |
| 2020 |
1,558 |
$27K |
| 2021 |
1,914 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
945 |
941 |
$39K |
| D1120 |
Prophylaxis - child |
1,303 |
1,295 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,317 |
1,310 |
$15K |
| D0272 |
Bitewings - two radiographic images |
886 |
881 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,472 |
1,238 |
$10K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
106 |
96 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
59 |
59 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
29 |
13 |
$2K |
| D0274 |
Bitewings - four radiographic images |
37 |
37 |
$738.00 |
| D1330 |
|
20 |
20 |
$0.00 |