NPI: 1316580285 · SAN DIEGO, CA 92128 · Dentist · NPI assigned 10/23/2019
Authorized official ASHMORE, GLENN controls 20+ related entities in our dataset. Read more
| Authorized Official | ASHMORE, GLENN (OWNER) |
| NPI Enumeration Date | 10/23/2019 |
Other providers sharing the same authorized official: ASHMORE, GLENN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,236 | $47K |
| 2022 | 2,894 | $72K |
| 2023 | 2,193 | $55K |
| 2024 | 521 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 804 | 800 | $50K |
| D1110 | Prophylaxis - adult | 593 | 580 | $50K |
| D0210 | Intraoral - complete series of radiographic images | 483 | 483 | $23K |
| D0120 | Periodic oral evaluation - established patient | 221 | 211 | $16K |
| D1206 | Topical application of fluoride varnish | 753 | 747 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,900 | 613 | $12K |
| D1120 | Prophylaxis - child | 140 | 138 | $7K |
| D0274 | Bitewings - four radiographic images | 360 | 347 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 384 | 343 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 50 | 29 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 100 | 99 | $1K |
| D0350 | 56 | 31 | $499.20 |