NPI: 1184723801 · SACRAMENTO, CA 95823 · General Practice Dentistry · NPI assigned 09/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,379 | $15K |
| 2019 | 1,538 | $23K |
| 2020 | 861 | $10K |
| 2021 | 1,683 | $25K |
| 2022 | 1,906 | $30K |
| 2023 | 160 | $2K |
| 2024 | 1,200 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9430 | 1,080 | 1,027 | $34K | |
| D0220 | Intraoral - periapical first radiographic image | 1,860 | 1,629 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,125 | 1,296 | $21K |
| D7140 | Extraction, erupted tooth or exposed root | 244 | 96 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 216 | 208 | $13K |
| D1110 | Prophylaxis - adult | 72 | 69 | $6K |
| D0120 | Periodic oral evaluation - established patient | 104 | 99 | $5K |
| D5850 | 26 | 24 | $2K |