DALIA JAMMA DDS INC.
NPI: 1417467341
· EL CAJON, CA 92019
· Dental Clinic/Center
· NPI assigned 10/05/2017
Provider Details
| Authorized Official | JAMMA, DALIA (OWNER) |
| NPI Enumeration Date | 10/05/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$204.00 |
| 2022 |
126 |
$2K |
| 2023 |
96 |
$2K |
| 2024 |
65 |
$710.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
75 |
65 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$825.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
162 |
108 |
$634.89 |
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$608.50 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$156.00 |