PACIFIC DENTAL CARE P.C.
NPI: 1245449164
· PORTLAND, OR 97220
· General Practice Dentistry
· NPI assigned 05/21/2007
Provider Details
| Authorized Official | NGUYEN, MIMI (OFFICE MANAGER) |
| NPI Enumeration Date | 05/21/2007 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, MIMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
997 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
254 |
247 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
152 |
149 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
271 |
259 |
$3K |
| D1110 |
Prophylaxis - adult |
57 |
57 |
$3K |
| D0274 |
Bitewings - four radiographic images |
66 |
65 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
158 |
106 |
$966.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$539.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$461.50 |