SAMUEL HAYATT DMD, INC.
NPI: 1407273139
· EL CAJON, CA 92019
· General Practice Dentistry
· NPI assigned 03/19/2014
Provider Details
| Authorized Official | MARTINEZ, MAYRA (PRACTICE MANAGER) |
| NPI Enumeration Date | 03/19/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$666.00 |
| 2019 |
58 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
27 |
27 |
$810.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$720.00 |
| D1206 |
Topical application of fluoride varnish |
45 |
45 |
$392.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$280.80 |