KOLCHANSKY DENTAL CORPORATION
NPI: 1538295126
· SIMI VALLEY, CA 93065
· General Practice Dentistry
· NPI assigned 02/26/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
103 |
$693.00 |
| 2020 |
25 |
$771.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$879.00 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$280.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
59 |
16 |
$165.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$140.00 |