NPI: 1417719964 · SAN BRUNO, CA 94066 · Dentist · NPI assigned 01/29/2024
| Authorized Official | YEO, MARIA LOURDES (OWNER) |
| NPI Enumeration Date | 01/29/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 143 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 39 | 39 | $3K |
| D1110 | Prophylaxis - adult | 14 | 14 | $1K |
| D9910 | 17 | 17 | $657.90 | |
| D0274 | Bitewings - four radiographic images | 19 | 19 | $513.00 |
| D0350 | 37 | 14 | $421.80 | |
| D1208 | Topical application of fluoride, excluding varnish | 17 | 17 | $304.20 |