DR RAYMOND MANSOUR A PROFESSIONAL DENTAL CORP
NPI: 1366908527
· EL CAJON, CA 92020
· Dental Clinic/Center
· NPI assigned 02/13/2019
Provider Details
| Authorized Official | MANSOUR, RAYMOND (DENTIST/OWNER) |
| NPI Enumeration Date | 02/13/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
80 |
$3K |
| 2021 |
505 |
$17K |
| 2022 |
322 |
$12K |
| 2023 |
429 |
$14K |
| 2024 |
251 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4910 |
|
250 |
247 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
196 |
196 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
608 |
607 |
$6K |
| D9430 |
|
144 |
140 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
93 |
92 |
$4K |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$3K |
| D0330 |
Panoramic radiographic image |
41 |
40 |
$925.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$880.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
188 |
125 |
$648.32 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
16 |
$216.00 |