NPI: 1245630474 · WEST COVINA, CA 91791 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 59 | $2K |
| 2019 | 26 | $885.00 |
| 2021 | 138 | $5K |
| 2022 | 789 | $26K |
| 2023 | 940 | $30K |
| 2024 | 561 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 371 | 371 | $18K | |
| D0150 | 233 | 233 | $14K | |
| D0120 | 169 | 169 | $11K | |
| D4910 | 109 | 109 | $8K | |
| D9430 | 245 | 234 | $8K | |
| D1208 | 354 | 354 | $6K | |
| D0210 | 116 | 116 | $5K | |
| D0230 | 745 | 252 | $3K | |
| D1206 | 56 | 55 | $967.00 | |
| D9993 | 12 | 12 | $698.75 | |
| D0350 | 62 | 26 | $604.80 | |
| D1310 | 12 | 12 | $475.25 | |
| D0274 | 12 | 12 | $259.20 | |
| D0272 | 17 | 17 | $204.00 |