ROWENA GBENOBA A DENTAL CORPORATION
NPI: 1447801600
· WINCHESTER, CA 92596
· General Practice Dentistry
· NPI assigned 09/27/2019
Provider Details
| Authorized Official | GBENOBA, ROWENA (PRESIDENT) |
| NPI Enumeration Date | 09/27/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
90 |
$4K |
| 2021 |
492 |
$21K |
| 2022 |
506 |
$18K |
| 2023 |
393 |
$12K |
| 2024 |
485 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
375 |
374 |
$25K |
| D0120 |
Periodic oral evaluation - established patient |
131 |
131 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
228 |
227 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
681 |
680 |
$10K |
| D1120 |
Prophylaxis - child |
141 |
141 |
$7K |
| D1110 |
Prophylaxis - adult |
65 |
65 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
219 |
113 |
$884.93 |
| D0350 |
|
79 |
52 |
$703.20 |
| D0274 |
Bitewings - four radiographic images |
30 |
30 |
$648.00 |
| D9430 |
|
17 |
14 |
$544.00 |