COMMUNITY DENTAL SERVICES
NPI: 1366514960
· PALMDALE, CA 93551
· Dentist
· NPI assigned 11/15/2006
Provider Details
| Authorized Official | SALCIDO, ELAINE (CONTRACT SUPERVISOR) |
| NPI Enumeration Date | 11/15/2006 |
Related Entities
Other providers sharing the same authorized official: SALCIDO, ELAINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$631.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$462.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$411.00 |