RAY DERAKSHAN, DMD INC
NPI: 1255579793
· SAN DIEGO, CA 92128
· Preferred Provider Organization
· NPI assigned 01/21/2009
Provider Details
| Authorized Official | DERAKSHAN, RAY (DENTIST) |
| NPI Enumeration Date | 01/21/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
471 |
$7K |
| 2019 |
402 |
$6K |
| 2020 |
261 |
$3K |
| 2021 |
186 |
$3K |
| 2022 |
311 |
$2K |
| 2023 |
610 |
$8K |
| 2024 |
600 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
171 |
170 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
258 |
253 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,049 |
920 |
$8K |
| D0274 |
Bitewings - four radiographic images |
238 |
237 |
$4K |
| D9430 |
|
86 |
80 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$385.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$156.00 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$150.00 |