HERMOSA DENTAL AND ORTHODONTICS GROUP LLC
NPI: 1306277918
· PHOENIX, AZ 85051
· Periodontist
· NPI assigned 12/06/2013
Provider Details
| Authorized Official | SALIM, RASOUL (OWNER) |
| NPI Enumeration Date | 12/06/2013 |
Related Entities
Other providers sharing the same authorized official: SALIM, RASOUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
637 |
$26.02 |
| 2019 |
249 |
$32.00 |
| 2020 |
841 |
$1K |
| 2021 |
602 |
$774.26 |
| 2022 |
756 |
$2K |
| 2023 |
750 |
$3K |
| 2024 |
595 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
1,113 |
1,027 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
2,295 |
2,071 |
$2K |
| D1206 |
Topical application of fluoride varnish |
333 |
320 |
$949.22 |
| D0120 |
Periodic oral evaluation - established patient |
160 |
150 |
$778.49 |
| D0274 |
Bitewings - four radiographic images |
97 |
90 |
$699.99 |
| D1110 |
Prophylaxis - adult |
68 |
67 |
$615.62 |
| D2950 |
|
72 |
65 |
$362.61 |
| D0230 |
Intraoral - periapical each additional radiographic image |
213 |
193 |
$290.93 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
32 |
$118.88 |
| D1120 |
Prophylaxis - child |
18 |
12 |
$34.29 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
17 |
12 |
$0.00 |