NPI: 1427480979 · PLACENTIA, CA 92870 · Pediatric Dentist · NPI assigned 08/07/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 299 | $7K |
| 2019 | 158 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 116 | 116 | $5K |
| D0120 | Periodic oral evaluation - established patient | 139 | 139 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 174 | 174 | $2K |
| D0272 | Bitewings - two radiographic images | 14 | 14 | $226.95 |
| D0220 | Intraoral - periapical first radiographic image | 14 | 13 | $188.30 |