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DAVID C. JEN, DDS, INC., A DENTAL CORPORATION
DAVID C. JEN, DDS, INC., A DENTAL CORPORATION
NPI: 1508264326
· RIALTO, CA 92376
· Endodontist
· NPI assigned 12/10/2014
$187K
Total Medicaid Paid
Provider Details
| Authorized Official | JEN, DAVID (PRESIDENT) |
| NPI Enumeration Date | 12/10/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
805 |
$12K |
| 2021 |
2,146 |
$58K |
| 2022 |
2,059 |
$36K |
| 2023 |
2,157 |
$62K |
| 2024 |
1,148 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,263 |
1,251 |
$83K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
132 |
124 |
$61K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,711 |
1,124 |
$23K |
| D0220 |
Intraoral - periapical first radiographic image |
1,196 |
1,175 |
$14K |
| D3320 |
|
13 |
12 |
$5K |