JC DE LA OSA, DDS, INC
NPI: 1447687843
· LA PUENTE, CA 91744
· Dentist
· NPI assigned 09/30/2013
Provider Details
Related Entities
Other providers sharing the same authorized official: DE LA OSA, JORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,876 |
$21K |
| 2019 |
457 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
182 |
182 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,684 |
389 |
$7K |
| D0272 |
Bitewings - two radiographic images |
254 |
253 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
41 |
13 |
$2K |
| D1120 |
Prophylaxis - child |
53 |
53 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
75 |
75 |
$696.50 |
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$588.00 |
| D9430 |
|
12 |
12 |
$320.00 |