EDALAT PAJOUH S KALAI DENTAL CORP
NPI: 1205908795
· CANOGA PARK, CA 91303
· Dentist
· NPI assigned 11/14/2006
Provider Details
| Authorized Official | KALAI, KAMBIZ (SECRETARY) |
| NPI Enumeration Date | 11/14/2006 |
Related Entities
Other providers sharing the same authorized official: KALAI, KAMBIZ
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$2K |
| 2022 |
224 |
$6K |
| 2023 |
478 |
$10K |
| 2024 |
190 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
115 |
115 |
$8K |
| D4910 |
|
66 |
66 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
61 |
61 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
524 |
110 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
94 |
94 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$1K |
| D9430 |
|
27 |
24 |
$864.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$280.80 |