NPI: 1447430475 · ESCONDIDO, CA 92025 · Dentist · NPI assigned 11/07/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 385 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 329 | 73 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $792.00 |
| D0274 | Bitewings - four radiographic images | 28 | 28 | $604.80 |
| D1206 | Topical application of fluoride varnish | 15 | 15 | $154.00 |