NPI: 1497009831 · NEWPORT BEACH, CA 92660 · Pediatric Dentist · NPI assigned 11/07/2012
| Authorized Official | TAM, KEITH (OWNER, DDS) |
| Parent Organization | KEITH TAM DDS PROFESSIONAL CORP |
| NPI Enumeration Date | 11/07/2012 |
Other providers sharing the same authorized official: TAM, KEITH
| Provider | City | State | Total Paid |
|---|---|---|---|
| KTAM DDS DENTAL CORP | SANTA MARIA | CA | $83K |
| TAM & COTTRELL DENTAL PARTNERSHIP | SANTA MARIA | CA | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 665 | $20K |
| 2024 | 827 | $23K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 400 | 400 | $21K |
| D0120 | Periodic oral evaluation - established patient | 83 | 83 | $6K |
| D1310 | 128 | 128 | $6K | |
| D1206 | Topical application of fluoride varnish | 161 | 161 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 486 | 242 | $2K |
| D0272 | Bitewings - two radiographic images | 122 | 122 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 19 | 19 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 54 | 54 | $773.50 |
| D0603 | 25 | 25 | $375.00 | |
| D1330 | 14 | 14 | $0.00 |