YUNFEI FAN DDS, A PROFESSIONAL CORPORATION
NPI: 1205170065
· SANTA ROSA, CA 95403
· General Practice Dentistry
· NPI assigned 11/19/2012
$169K
Total Medicaid Paid
Provider Details
| Authorized Official | FAN, YUNFEI (PRESIDENT) |
| NPI Enumeration Date | 11/19/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,631 |
$30K |
| 2019 |
1,288 |
$28K |
| 2020 |
1,200 |
$20K |
| 2021 |
1,313 |
$23K |
| 2022 |
1,035 |
$26K |
| 2023 |
788 |
$23K |
| 2024 |
803 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,444 |
1,440 |
$73K |
| D1120 |
Prophylaxis - child |
1,367 |
1,360 |
$48K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,767 |
1,760 |
$19K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,765 |
691 |
$11K |
| D0274 |
Bitewings - four radiographic images |
384 |
384 |
$8K |
| D1351 |
Sealant - per tooth |
267 |
67 |
$7K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.00 |
| D1999 |
|
12 |
12 |
$0.00 |