MARIA-ELENA NEWCOMER DDS INC
NPI: 1528448313
· GARDENA, CA 90249
· General Practice Dentistry
· NPI assigned 06/05/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
131 |
$1K |
| 2019 |
33 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
126 |
49 |
$475.02 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$410.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$231.00 |