UC DAVIS UNIV DENTAL ASSOCIATES
NPI: 1285774109
· SACRAMENTO, CA 95817
· Special Hospital
· NPI assigned 02/08/2007
Provider Details
| Authorized Official | HUNTER, MARYT (REGISTERED DENTAL ASSISTANT) |
| NPI Enumeration Date | 02/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
180 |
$3K |
| 2019 |
280 |
$7K |
| 2020 |
137 |
$3K |
| 2021 |
165 |
$5K |
| 2022 |
313 |
$12K |
| 2023 |
154 |
$7K |
| 2024 |
198 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
756 |
752 |
$27K |
| D1120 |
Prophylaxis - child |
258 |
257 |
$11K |
| D1206 |
Topical application of fluoride varnish |
338 |
336 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$3K |
| D9420 |
|
21 |
14 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$390.00 |