DUNYA ANTWAN DDS INC.
NPI: 1407364102
· VISTA, CA 92083
· General Practice Dentistry
· NPI assigned 01/16/2018
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | ANTWAN, DUNYA (DENTIST) |
| NPI Enumeration Date | 01/16/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
98 |
$3K |
| 2020 |
309 |
$17K |
| 2021 |
513 |
$21K |
| 2022 |
764 |
$27K |
| 2023 |
870 |
$30K |
| 2024 |
642 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
295 |
293 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
325 |
323 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
363 |
362 |
$24K |
| D9430 |
|
528 |
442 |
$17K |
| D0210 |
Intraoral - complete series of radiographic images |
302 |
302 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
618 |
615 |
$9K |
| D0274 |
Bitewings - four radiographic images |
179 |
179 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
560 |
281 |
$2K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |