NPI: 1295360790 · FONTANA, CA 92335 · Pediatric Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,097 | $723K |
| 2022 | 10,622 | $1.54M |
| 2023 | 9,662 | $1.26M |
| 2024 | 13,303 | $1.35M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | 2,707 | 2,002 | $1.23M | |
| D2751 | 2,433 | 1,481 | $1.15M | |
| D9223 | 1,169 | 629 | $504K | |
| D2954 | 3,842 | 2,338 | $399K | |
| D2930 | 1,712 | 333 | $200K | |
| D3220 | 1,781 | 351 | $173K | |
| D2392 | 2,352 | 1,123 | $155K | |
| D2931 | 1,205 | 809 | $149K | |
| D3320 | 362 | 277 | $131K | |
| D3310 | 360 | 141 | $108K | |
| D9230 | 2,586 | 2,321 | $101K | |
| D9222 | 633 | 629 | $77K | |
| D9430 | 1,932 | 1,839 | $61K | |
| D2391 | 1,068 | 540 | $57K | |
| D2393 | 709 | 421 | $56K | |
| D0120 | 720 | 717 | $54K | |
| D9610 | 794 | 628 | $53K | |
| D0150 | 488 | 480 | $32K | |
| D1120 | 536 | 536 | $28K | |
| D0230 | 6,780 | 1,936 | $27K | |
| D7140 | 373 | 135 | $21K | |
| D2150 | 306 | 95 | $19K | |
| D2330 | 257 | 121 | $19K | |
| D0210 | 377 | 377 | $18K | |
| D0274 | 544 | 542 | $11K | |
| D0220 | 913 | 880 | $11K | |
| D0350 | 738 | 247 | $7K | |
| D1208 | 449 | 449 | $6K | |
| D3348 | 13 | 12 | $6K | |
| D2140 | 82 | 29 | $4K | |
| D0272 | 313 | 310 | $4K | |
| D4341 | 38 | 13 | $3K | |
| D1510 | 15 | 12 | $3K | |
| D2332 | 24 | 12 | $2K | |
| D0330 | 14 | 14 | $420.00 | |
| D0270 | 44 | 41 | $215.00 | |
| D1206 | 15 | 15 | $210.00 |