SEA BREEZE DENTAL CARE
NPI: 1356587521
· AGOURA HILLS, CA 91301
· General Practice Dentistry
· NPI assigned 12/18/2008
Provider Details
| Authorized Official | ZAK, BORIS (OWNER) |
| Parent Organization | SEA BREEZE DENTAL |
| NPI Enumeration Date | 12/18/2008 |
Related Entities
Other providers sharing the same authorized official: ZAK, BORIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
251 |
$426.60 |
| 2019 |
401 |
$588.80 |
| 2020 |
184 |
$1K |
| 2021 |
441 |
$7K |
| 2022 |
508 |
$4K |
| 2023 |
352 |
$4K |
| 2024 |
40 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
140 |
120 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
107 |
75 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
611 |
197 |
$2K |
| D0274 |
Bitewings - four radiographic images |
159 |
148 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
86 |
68 |
$1K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$1K |
| D9430 |
|
523 |
393 |
$1K |
| D0330 |
Panoramic radiographic image |
128 |
109 |
$425.50 |
| D1354 |
|
47 |
12 |
$398.00 |
| D1120 |
Prophylaxis - child |
41 |
29 |
$378.00 |
| D0220 |
Intraoral - periapical first radiographic image |
120 |
90 |
$358.00 |
| D9995 |
|
14 |
14 |
$302.40 |
| D0350 |
|
173 |
126 |
$28.80 |
| D9996 |
|
13 |
13 |
$0.00 |