PAN, SIMON
NPI: 1558316158
· S EL MONTE, CA 91733
· Dentist
· NPI assigned 05/23/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
82 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
15 |
15 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$709.30 |
| D1320 |
|
26 |
26 |
$195.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$158.00 |