NPI: 1356564173 · NAPA, CA 94558 · General Practice Dentistry · NPI assigned 04/10/2007
Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
| Authorized Official | ANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Parent Organization | ST JOSEPH HEALTH SYSTEM |
| NPI Enumeration Date | 04/10/2007 |
Other providers sharing the same authorized official: ANDERSON, DONALD
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,127 | $347K |
| 2019 | 20,022 | $352K |
| 2020 | 16,595 | $276K |
| 2021 | 18,433 | $330K |
| 2022 | 14,995 | $429K |
| 2023 | 16,406 | $419K |
| 2024 | 14,280 | $392K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14,244 | 14,196 | $769K |
| D1120 | Prophylaxis - child | 15,960 | 15,912 | $613K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4,022 | 3,128 | $267K |
| D1208 | Topical application of fluoride, excluding varnish | 16,182 | 16,134 | $204K |
| D0230 | Intraoral - periapical each additional radiographic image | 38,977 | 10,554 | $158K |
| D0274 | Bitewings - four radiographic images | 7,053 | 7,041 | $149K |
| D1351 | Sealant - per tooth | 4,380 | 2,393 | $118K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,281 | 1,090 | $69K |
| D0272 | Bitewings - two radiographic images | 3,541 | 3,530 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 532 | 531 | $33K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 399 | 363 | $32K |
| D0145 | Oral evaluation for a patient under three years of age | 430 | 430 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 450 | 447 | $21K |
| D9430 | 563 | 546 | $18K | |
| D0220 | Intraoral - periapical first radiographic image | 1,202 | 1,185 | $14K |
| D1320 | 867 | 854 | $7K | |
| D7140 | Extraction, erupted tooth or exposed root | 98 | 74 | $6K |
| D0350 | 1,652 | 1,405 | $5K | |
| D1110 | Prophylaxis - adult | 12 | 12 | $1K |
| D0270 | 80 | 79 | $393.75 | |
| D1330 | 10,906 | 10,890 | $0.00 | |
| D3120 | 27 | 25 | $0.00 |