NPI: 1437910577 · EWA BEACH, HI 96706 · General Practice Dentistry · NPI assigned 01/16/2024
| Authorized Official | ODA, GARY (DENTIST) |
| NPI Enumeration Date | 01/16/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 987 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 257 | 215 | $9K |
| D0274 | Bitewings - four radiographic images | 116 | 116 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 278 | 254 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 278 | 229 | $3K |
| D1206 | Topical application of fluoride varnish | 43 | 43 | $1K |
| D9110 | 15 | 14 | $889.20 |