PERES DENTAL CLINIC
NPI: 1306274147
· RICHMOND, CA 94801
· General Practice Dentistry
· NPI assigned 10/14/2013
Provider Details
| Authorized Official | ELDRIDGE, JAWAN (PRINCIPAL) |
| NPI Enumeration Date | 10/14/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
57 |
$3K |
| 2024 |
72 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
50 |
50 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
47 |
47 |
$757.50 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$705.00 |