NPI: 1265217616 · DALY CITY, CA 94015 · Federally Qualified Health Center (FQHC) · NPI assigned 08/25/2023
Authorized official CHAN, EDDIE controls 20+ related entities in our dataset. Read more
| Authorized Official | CHAN, EDDIE (PRESIDENT & CEO) |
| NPI Enumeration Date | 08/25/2023 |
Other providers sharing the same authorized official: CHAN, EDDIE
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 876 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 224 | 224 | $12K |
| D1110 | Prophylaxis - adult | 176 | 176 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 234 | 234 | $8K |
| D4341 | 36 | 12 | $2K | |
| D1120 | Prophylaxis - child | 41 | 41 | $2K |
| D9430 | 49 | 48 | $1K | |
| D1206 | Topical application of fluoride varnish | 46 | 46 | $735.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 54 | 40 | $210.60 |
| D0270 | 16 | 16 | $104.00 |