MALLEMPALLI DDS INC
NPI: 1295126258
· SAN DIEGO, CA 92126
· Dentist
· NPI assigned 02/12/2015
Provider Details
Related Entities
Other providers sharing the same authorized official: MALLEMPALLI, MANIMANJARI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$129.00 |
| 2020 |
12 |
$792.00 |
| 2021 |
65 |
$4K |
| 2022 |
75 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
42 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
55 |
55 |
$3K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$3K |
| D9430 |
|
13 |
13 |
$416.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
13 |
$191.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
15 |
$129.00 |