NPI: 1497283915 · ENCINO, CA 91436 · Dentist · NPI assigned 05/28/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 350 | $32K |
| 2019 | 65 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 164 | 68 | $28K |
| D9248 | 72 | 72 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | 42 | 15 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 71 | 71 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 66 | 16 | $594.00 |