SCOT K WATASE DMD INC.
NPI: 1235319898
· MONTEBELLO, CA 90640
· Pediatric Dentist
· NPI assigned 11/11/2007
$246K
Total Medicaid Paid
Provider Details
| Authorized Official | WATASE, SCOT (DENTIST) |
| NPI Enumeration Date | 11/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,595 |
$70K |
| 2019 |
2,280 |
$43K |
| 2020 |
1,160 |
$20K |
| 2021 |
1,478 |
$24K |
| 2022 |
1,263 |
$34K |
| 2023 |
1,189 |
$30K |
| 2024 |
953 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,899 |
1,897 |
$86K |
| D1120 |
Prophylaxis - child |
2,252 |
2,248 |
$80K |
| D0272 |
Bitewings - two radiographic images |
2,087 |
2,086 |
$24K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
249 |
144 |
$16K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,438 |
2,144 |
$13K |
| D1206 |
Topical application of fluoride varnish |
1,323 |
1,323 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
562 |
561 |
$7K |
| D2160 |
|
66 |
43 |
$5K |
| D9993 |
|
14 |
14 |
$910.00 |
| D1310 |
|
14 |
14 |
$644.00 |
| D0603 |
|
14 |
14 |
$210.00 |