GABRIELLA TN PHAM DDS INC
NPI: 1295081107
· COSTA MESA, CA 92626
· General Practice Dentistry
· NPI assigned 07/29/2012
Provider Details
| Authorized Official | PHAM, GABRIELLA (PRESIDENT) |
| NPI Enumeration Date | 07/29/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,153 |
$22K |
| 2019 |
795 |
$21K |
| 2020 |
446 |
$12K |
| 2021 |
265 |
$7K |
| 2022 |
337 |
$13K |
| 2023 |
158 |
$8K |
| 2024 |
77 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
847 |
845 |
$42K |
| D1120 |
Prophylaxis - child |
395 |
394 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
995 |
993 |
$11K |
| D1110 |
Prophylaxis - adult |
117 |
115 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
511 |
461 |
$6K |
| D0274 |
Bitewings - four radiographic images |
274 |
273 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
80 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$552.00 |