BRIAN LEY, D.D.S., INC.
NPI: 1174831788
· FULLERTON, CA 92831
· Dental Clinic/Center
· NPI assigned 09/16/2010
$146K
Total Medicaid Paid
Provider Details
| Authorized Official | LEY, BRIAN (GENERAL DENTIST/OWNER) |
| NPI Enumeration Date | 09/16/2010 |
Related Entities
Other providers sharing the same authorized official: LEY, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
239 |
$4K |
| 2021 |
829 |
$16K |
| 2022 |
1,561 |
$41K |
| 2023 |
1,562 |
$47K |
| 2024 |
1,344 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
298 |
298 |
$26K |
| D9430 |
|
808 |
774 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
243 |
239 |
$18K |
| D4910 |
|
243 |
241 |
$18K |
| D0350 |
|
1,499 |
464 |
$14K |
| D1206 |
Topical application of fluoride varnish |
727 |
723 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
114 |
113 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
110 |
52 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,137 |
417 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
90 |
90 |
$4K |
| D0274 |
Bitewings - four radiographic images |
177 |
175 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
43 |
27 |
$2K |
| D1120 |
Prophylaxis - child |
46 |
43 |
$2K |