LOURDES CARDOSO DDS INC.
NPI: 1205482536
· RANCHO CUCAMONGA, CA 91739
· Dental Clinic/Center
· NPI assigned 08/13/2019
Provider Details
| Authorized Official | CARDOSO, LOURDES (OWNER/CEO) |
| Parent Organization | LOURDES CARDOSO DDS INC. |
| NPI Enumeration Date | 08/13/2019 |
Related Entities
Other providers sharing the same authorized official: CARDOSO, LOURDES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
96 |
$1K |
| 2021 |
12 |
$163.00 |
| 2022 |
44 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$1K |
| D1120 |
Prophylaxis - child |
15 |
15 |
$787.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$568.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
67 |
12 |
$291.60 |