NPI: 1306348768 · RANCHO CUCAMONGA, CA 91739 · Dentist · NPI assigned 03/01/2018
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| NPI Enumeration Date | 03/01/2018 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,298 | $69K |
| 2021 | 4,008 | $157K |
| 2022 | 3,511 | $132K |
| 2023 | 7,610 | $172K |
| 2024 | 8,387 | $297K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 2,549 | 2,536 | $167K |
| D2751 | Crown - porcelain fused to predominantly base metal | 224 | 161 | $106K |
| D0210 | Intraoral - complete series of radiographic images | 2,042 | 2,038 | $96K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,262 | 623 | $84K |
| D0120 | Periodic oral evaluation - established patient | 950 | 949 | $71K |
| D1120 | Prophylaxis - child | 1,266 | 1,258 | $57K |
| D1110 | Prophylaxis - adult | 604 | 600 | $51K |
| D0230 | Intraoral - periapical each additional radiographic image | 6,316 | 1,725 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 582 | 261 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 2,169 | 2,159 | $31K |
| D0350 | 3,675 | 949 | $27K | |
| D0274 | Bitewings - four radiographic images | 1,063 | 1,058 | $20K |
| D1320 | 902 | 895 | $15K | |
| D9430 | 410 | 385 | $13K | |
| D4341 | 131 | 45 | $9K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 67 | 30 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 24 | 13 | $3K |
| D1351 | Sealant - per tooth | 129 | 25 | $3K |
| D2330 | 27 | 13 | $2K | |
| D0330 | Panoramic radiographic image | 379 | 377 | $2K |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $420.00 |
| D0272 | Bitewings - two radiographic images | 19 | 14 | $204.00 |
| D0270 | 12 | 12 | $50.00 |