NPI: 1508069170 · LA PUENTE, CA 91744 · General Practice Dentistry · NPI assigned 06/08/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 201 | $4K |
| 2019 | 60 | $2K |
| 2020 | 119 | $3K |
| 2021 | 706 | $12K |
| 2022 | 319 | $9K |
| 2023 | 286 | $8K |
| 2024 | 117 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 1,088 | 1,071 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 224 | 224 | $12K |
| D0120 | Periodic oral evaluation - established patient | 104 | 104 | $3K |
| D1120 | Prophylaxis - child | 86 | 85 | $1K |
| D0272 | Bitewings - two radiographic images | 108 | 108 | $1K |
| D4910 | 15 | 15 | $1K | |
| D1110 | Prophylaxis - adult | 12 | 12 | $990.00 |
| D1208 | Topical application of fluoride, excluding varnish | 98 | 98 | $534.00 |
| D0220 | Intraoral - periapical first radiographic image | 73 | 60 | $48.00 |