NPI: 1346258308 · WEST COVINA, CA 91790 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,780 | $48K |
| 2019 | 1,485 | $53K |
| 2020 | 351 | $10K |
| 2021 | 362 | $9K |
| 2022 | 12 | $870.00 |
| 2023 | 14 | $805.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 822 | 821 | $30K | |
| D0150 | 404 | 404 | $22K | |
| D0210 | 348 | 348 | $15K | |
| D1120 | 507 | 503 | $15K | |
| D2392 | 173 | 102 | $11K | |
| D1110 | 104 | 102 | $7K | |
| D7210 | 45 | 26 | $5K | |
| D0274 | 236 | 235 | $5K | |
| D2391 | 91 | 51 | $5K | |
| D0230 | 1,022 | 552 | $4K | |
| D0220 | 188 | 185 | $2K | |
| D9430 | 13 | 13 | $416.00 | |
| D1208 | 39 | 39 | $304.00 | |
| D0272 | 12 | 12 | $120.00 |