HO, MAI
NPI: 1295884062
· HAWTHORNE, CA 90250
· General Practice Dentistry
· NPI assigned 01/09/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
847 |
$14K |
| 2019 |
448 |
$9K |
| 2020 |
209 |
$5K |
| 2021 |
281 |
$6K |
| 2022 |
649 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
398 |
391 |
$19K |
| D0230 |
Intraoral - periapical each additional radiographic image |
691 |
668 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
585 |
577 |
$7K |
| D1120 |
Prophylaxis - child |
167 |
167 |
$6K |
| D0272 |
Bitewings - two radiographic images |
481 |
473 |
$5K |
| D1110 |
Prophylaxis - adult |
61 |
61 |
$4K |
| D9430 |
|
26 |
24 |
$816.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$250.00 |