JAIRO CASTRO, D.D.S., INC.
NPI: 1386823508
· LOS ANGELES, CA 90023
· Dentist
· NPI assigned 10/24/2007
Provider Details
| Authorized Official | CASTRO, JAIRO (DENTIST) |
| Parent Organization | JAIRO CASTRO, D.D.S., INC. |
| NPI Enumeration Date | 10/24/2007 |
Related Entities
Other providers sharing the same authorized official: CASTRO, JAIRO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
269 |
$2K |
| 2019 |
264 |
$4K |
| 2020 |
353 |
$4K |
| 2021 |
81 |
$892.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
748 |
163 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
85 |
83 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D0274 |
Bitewings - four radiographic images |
42 |
42 |
$820.80 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$390.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$234.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$106.00 |