JEREMY LI-SHIN CHEN DDS INC
NPI: 1528798550
· SAN GABRIEL, CA 91776
· Dental Clinic/Center
· NPI assigned 06/13/2022
Provider Details
| Authorized Official | CHEN, JEREMY (CEO) |
| NPI Enumeration Date | 06/13/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
161 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$2K |
| D1206 |
Topical application of fluoride varnish |
44 |
44 |
$926.00 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$393.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
63 |
28 |
$216.60 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$84.00 |