WESTERN UNIVERSITY OF HEALTH SCIENCES
NPI: 1265785968
· POMONA, CA 91766
· Dental Clinic/Center
· NPI assigned 10/18/2012
$143K
Total Medicaid Paid
Provider Details
| Authorized Official | FRIEDRICHSEN, STEVEN (DEAN) |
| Parent Organization | WESTERN UNIVERSITY OF HEALTH SCIENCES |
| NPI Enumeration Date | 10/18/2012 |
Related Entities
Other providers sharing the same authorized official: FRIEDRICHSEN, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,269 |
$23K |
| 2019 |
1,164 |
$28K |
| 2020 |
263 |
$7K |
| 2021 |
496 |
$10K |
| 2022 |
1,375 |
$25K |
| 2023 |
1,457 |
$28K |
| 2024 |
1,191 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,449 |
1,418 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
933 |
906 |
$43K |
| D1206 |
Topical application of fluoride varnish |
1,285 |
1,257 |
$16K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
236 |
236 |
$14K |
| D1310 |
|
777 |
765 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,001 |
468 |
$4K |
| D9993 |
|
634 |
621 |
$2K |
| D0272 |
Bitewings - two radiographic images |
173 |
170 |
$2K |
| D0603 |
|
428 |
421 |
$1K |
| D0274 |
Bitewings - four radiographic images |
67 |
67 |
$1K |
| D1351 |
Sealant - per tooth |
30 |
12 |
$847.00 |
| D1330 |
|
202 |
202 |
$0.00 |