NPI: 1316724677 · LAKE ELSINORE, CA 92532 · Dentist · NPI assigned 09/11/2023
| Authorized Official | CABRERA, JORGE (OWNER DENTIST) |
| NPI Enumeration Date | 09/11/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 2,147 | $169K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2751 | 112 | 71 | $53K | |
| D0150 | 436 | 435 | $29K | |
| D7210 | 155 | 27 | $18K | |
| D4341 | 247 | 66 | $17K | |
| D1110 | 158 | 158 | $13K | |
| D0210 | 267 | 266 | $13K | |
| D3330 | 14 | 14 | $6K | |
| D1120 | 90 | 90 | $5K | |
| D2392 | 61 | 27 | $4K | |
| D1206 | 226 | 226 | $4K | |
| D2954 | 18 | 14 | $2K | |
| D0274 | 82 | 82 | $2K | |
| D4910 | 14 | 14 | $1K | |
| D0230 | 221 | 113 | $884.94 | |
| D1208 | 16 | 16 | $190.00 | |
| D0350 | 30 | 30 | $48.00 |