NPI: 1194335760 · MONTCLAIR, CA 91763 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 118 | $4K |
| 2022 | 857 | $44K |
| 2023 | 769 | $38K |
| 2024 | 1,125 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 683 | 678 | $45K | |
| D1110 | 402 | 402 | $34K | |
| D0210 | 258 | 256 | $11K | |
| D0120 | 132 | 132 | $11K | |
| D0330 | 498 | 495 | $9K | |
| D2392 | 129 | 67 | $9K | |
| D2391 | 90 | 39 | $5K | |
| D0274 | 246 | 246 | $3K | |
| D1208 | 205 | 205 | $3K | |
| D4910 | 38 | 38 | $3K | |
| D1120 | 12 | 12 | $577.50 | |
| D1320 | 31 | 31 | $520.00 | |
| D0230 | 121 | 55 | $473.85 | |
| D1330 | 24 | 24 | $0.00 |