NPI: 1548383383 · SHERMAN OAKS, CA 91403 · Dentist · NPI assigned 04/09/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 108 | $496.00 |
| 2019 | 64 | $451.00 |
| 2020 | 36 | $228.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 69 | 69 | $680.00 |
| D1120 | Prophylaxis - child | 12 | 12 | $216.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $155.00 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $124.00 |
| D1310 | 50 | 50 | $0.00 | |
| D1330 | 52 | 51 | $0.00 |