ZALA DENTAL INC
NPI: 1356810600
· EASTVALE, CA 91752
· Pediatric Dentist
· NPI assigned 11/15/2018
$1.23M
Total Medicaid Paid
Provider Details
| Authorized Official | ZALA, MITESH (OWNER DENTIST) |
| NPI Enumeration Date | 11/15/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
608 |
$19K |
| 2020 |
4,871 |
$105K |
| 2021 |
8,785 |
$213K |
| 2022 |
10,349 |
$287K |
| 2023 |
11,226 |
$308K |
| 2024 |
11,542 |
$301K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
5,781 |
5,715 |
$263K |
| D1310 |
|
4,513 |
4,451 |
$203K |
| D0120 |
Periodic oral evaluation - established patient |
2,802 |
2,770 |
$185K |
| D1206 |
Topical application of fluoride varnish |
5,748 |
5,682 |
$127K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,703 |
1,686 |
$116K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,222 |
1,208 |
$84K |
| D9993 |
|
1,211 |
1,206 |
$78K |
| D0230 |
Intraoral - periapical each additional radiographic image |
15,212 |
3,310 |
$65K |
| D0220 |
Intraoral - periapical first radiographic image |
2,591 |
2,558 |
$31K |
| D0601 |
|
1,869 |
1,848 |
$27K |
| D0603 |
|
1,616 |
1,590 |
$24K |
| D0272 |
Bitewings - two radiographic images |
1,252 |
1,239 |
$15K |
| D0602 |
|
747 |
737 |
$11K |
| D1351 |
Sealant - per tooth |
108 |
29 |
$4K |
| D0350 |
|
535 |
142 |
$518.40 |
| D1330 |
|
434 |
434 |
$0.00 |
| D4346 |
|
37 |
30 |
$0.00 |