COMMUNITY HEALTH ALLIANCE OF PASADENA
NPI: 1407107667
· SOUTH EL MONTE, CA 91733
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/27/2012
Provider Details
Related Entities
Other providers sharing the same authorized official: MARTINEZ, MARGARET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,421 |
$8K |
| 2019 |
766 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
251 |
246 |
$3K |
| D1206 |
Topical application of fluoride varnish |
247 |
243 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
264 |
254 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
82 |
56 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
166 |
161 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$448.00 |
| D9430 |
|
34 |
29 |
$176.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$59.40 |
| D1320 |
|
53 |
52 |
$0.00 |
| D1310 |
|
468 |
450 |
$0.00 |
| D1330 |
|
578 |
529 |
$0.00 |