ROYA NEMATOLLAHI D.D.S. INC
NPI: 1326462730
· TUSTIN, CA 92780
· General Practice Dentistry
· NPI assigned 02/06/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
214 |
$7K |
| 2019 |
39 |
$1K |
| 2021 |
104 |
$5K |
| 2022 |
49 |
$1K |
| 2023 |
123 |
$6K |
| 2024 |
156 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
223 |
220 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
172 |
165 |
$7K |
| D1206 |
Topical application of fluoride varnish |
157 |
157 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
14 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$880.00 |
| D1120 |
Prophylaxis - child |
28 |
27 |
$750.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
57 |
56 |
$522.00 |