STARMOON DENTAL GROUP
NPI: 1356121750
· ROSEMEAD, CA 91770
· Dental Clinic/Center
· NPI assigned 10/03/2023
Provider Details
| Authorized Official | SILVA, FAVIOLA (ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 10/03/2023 |
Related Entities
Other providers sharing the same authorized official: SILVA, FAVIOLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
38 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
21 |
21 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
17 |
$841.00 |