MATT T PHAN DMD PC
NPI: 1366109357
· TUSTIN, CA 92780
· Dental Clinic/Center
· NPI assigned 11/24/2021
Provider Details
| Authorized Official | PHAN, MATT (OWNER) |
| NPI Enumeration Date | 11/24/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$792.00 |
| 2024 |
27 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$576.00 |