RITA T. DERAGOBIAN DDS, INC.
NPI: 1295227288
· GLENDORA, CA 91740
· Dental Clinic/Center
· NPI assigned 06/05/2018
Provider Details
| Authorized Official | DERAGOBIAN, RITA (DENTIST/OWNER) |
| NPI Enumeration Date | 06/05/2018 |
Related Entities
Other providers sharing the same authorized official: DERAGOBIAN, RITA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$858.00 |
| 2021 |
13 |
$384.00 |
| 2023 |
34 |
$1K |
| 2024 |
77 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
85 |
67 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$624.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$168.00 |