ELIZABETH GARCIA, DDS PROF. DENTAL CORP.
NPI: 1407179369
· SOUTH GATE, CA 90280
· Dentist
· NPI assigned 03/08/2010
Provider Details
| Authorized Official | GARCIA, ELIZABETH (PRESIDENT/DENTIST OWNER) |
| NPI Enumeration Date | 03/08/2010 |
Related Entities
Other providers sharing the same authorized official: GARCIA, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
472 |
$7K |
| 2019 |
139 |
$2K |
| 2020 |
50 |
$658.80 |
| 2021 |
222 |
$9K |
| 2022 |
22 |
$89.10 |
| 2023 |
93 |
$3K |
| 2024 |
119 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
134 |
134 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
73 |
12 |
$5K |
| D0274 |
Bitewings - four radiographic images |
153 |
153 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
55 |
53 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
47 |
13 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
615 |
264 |
$2K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$682.50 |