KEITH H TAM DDS INC
NPI: 1497009831
· NEWPORT BEACH, CA 92660
· Pediatric Dentist
· NPI assigned 11/07/2012
Provider Details
| Authorized Official | TAM, KEITH (OWNER, DDS) |
| Parent Organization | KEITH TAM DDS PROFESSIONAL CORP |
| NPI Enumeration Date | 11/07/2012 |
Related Entities
Other providers sharing the same authorized official: TAM, KEITH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
665 |
$20K |
| 2024 |
827 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | 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 |