JEFFREY CHEN D.D.S., INC
NPI: 1306074489
· TEMPLE CITY, CA 91780
· General Practice Dentistry
· NPI assigned 06/26/2009
$768.00
Total Medicaid Paid
Provider Details
| Authorized Official | CHEN, JEFFREY (CEO) |
| NPI Enumeration Date | 06/26/2009 |
Related Entities
Other providers sharing the same authorized official: CHEN, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$242.00 |
| 2019 |
30 |
$360.00 |
| 2021 |
12 |
$166.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
43 |
42 |
$480.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$288.00 |
| D0350 |
|
15 |
15 |
$0.00 |