NPI: 1447504212 · PANORAMA CITY, CA 91402 · General Practice Dentistry · NPI assigned 11/01/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 319 | $4K |
| 2019 | 472 | $7K |
| 2020 | 65 | $2K |
| 2021 | 242 | $4K |
| 2022 | 264 | $9K |
| 2023 | 349 | $9K |
| 2024 | 360 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 378 | 378 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 670 | 669 | $8K |
| D1120 | Prophylaxis - child | 136 | 136 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 696 | 250 | $3K |
| D1110 | Prophylaxis - adult | 13 | 13 | $1K |
| D0350 | 123 | 37 | $1K | |
| D0274 | Bitewings - four radiographic images | 42 | 42 | $907.20 |
| D0210 | Intraoral - complete series of radiographic images | 13 | 13 | $624.00 |