Y.A.SATYARAHARDJA DDS.INC.
NPI: 1508296450
· WEST COVINA, CA 91791
· Dentist
· NPI assigned 11/13/2013
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
25 |
$966.00 |
| 2021 |
40 |
$1K |
| 2022 |
14 |
$215.50 |
| 2023 |
92 |
$4K |
| 2024 |
50 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
36 |
36 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
39 |
39 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
122 |
122 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$870.00 |