G VILLEGAS DDS DENTAL INC
NPI: 1225404023
· SANTA ANA, CA 92703
· Health Maintenance Organization
· NPI assigned 08/15/2015
Provider Details
| Authorized Official | VILLEGAS, GLORIA (OWNER DENTIST) |
| NPI Enumeration Date | 08/15/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
88 |
$2K |
| 2023 |
153 |
$2K |
| 2024 |
331 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
111 |
$7K |
| D4910 |
|
63 |
63 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
80 |
80 |
$4K |
| D1206 |
Topical application of fluoride varnish |
70 |
70 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
224 |
51 |
$891.00 |
| D9430 |
|
12 |
12 |
$384.00 |