I ZAK DDS PROF DENTAL CORP
NPI: 1457845125
· COVINA, CA 91724
· 122300000X
$996.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
34 |
$612.85 |
| 2022 |
40 |
$384.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
17 |
17 |
$544.00 |
| D0350 |
|
40 |
13 |
$384.00 |
| D0230 |
|
17 |
14 |
$68.85 |