WESTERN DENTAL OF ARIZONA, INC.
NPI: 1285041020
· CASA GRANDE, AZ 85122
· Dentist
· NPI assigned 07/14/2014
Provider Details
| Authorized Official | NAVARRO, SOLEDAD (PPO COORDINATOR) |
| NPI Enumeration Date | 07/14/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
54 |
$1K |
| 2022 |
38 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
48 |
44 |
$628.20 |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
28 |
$434.39 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
13 |
$101.52 |