SANDOVAL, DEAN
NPI: 1255419479
· CANON CITY, CO 81212
· General Practice Dentistry
· NPI assigned 11/02/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
133 |
$4K |
| 2019 |
153 |
$5K |
| 2020 |
27 |
$855.14 |
| 2022 |
43 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
163 |
160 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
193 |
189 |
$5K |