ALISO DENTAL CARE DENTAL GROUP OF SILVIA VALLIS
NPI: 1538639539
· ALISO VIEJO, CA 92656
· Dental Clinic/Center
· NPI assigned 12/03/2018
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | VALLIS, SILVIA (OWNER) |
| NPI Enumeration Date | 12/03/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
367 |
$16K |
| 2020 |
204 |
$8K |
| 2021 |
369 |
$14K |
| 2022 |
423 |
$18K |
| 2023 |
550 |
$24K |
| 2024 |
453 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
524 |
524 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
303 |
302 |
$21K |
| D1206 |
Topical application of fluoride varnish |
973 |
972 |
$15K |
| D1110 |
Prophylaxis - adult |
164 |
164 |
$14K |
| D1120 |
Prophylaxis - child |
196 |
196 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
112 |
112 |
$5K |
| D0274 |
Bitewings - four radiographic images |
94 |
94 |
$2K |