MARYSOL B. REALON DDS A PROF. DENTAL CORP
NPI: 1508023235
· LATHROP, CA 95330
· Dentist
· NPI assigned 05/20/2008
Provider Details
| Authorized Official | REALON, MARYSOL (DENTIST) |
| NPI Enumeration Date | 05/20/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,338 |
$23K |
| 2019 |
1,319 |
$27K |
| 2020 |
412 |
$7K |
| 2024 |
12 |
$630.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
609 |
607 |
$24K |
| D1120 |
Prophylaxis - child |
646 |
643 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
576 |
574 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,046 |
374 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
28 |
$3K |
| D0274 |
Bitewings - four radiographic images |
91 |
91 |
$2K |
| D1999 |
|
69 |
69 |
$20.00 |