PLEITEZ DENTAL CORPORATION
NPI: 1194130807
· CHATSWORTH, CA 91311
· Dentist
· NPI assigned 06/23/2014
$944.25
Total Medicaid Paid
Provider Details
| Authorized Official | PLEITEZ, ERIK (PRESIDENT) |
| NPI Enumeration Date | 06/23/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$944.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$762.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
45 |
14 |
$182.25 |