NPI: 1558585117 · VALLEY VILLAGE, CA 91607 · General Practice Dentistry · NPI assigned 04/12/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 678 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 458 | 73 | $1K |
| D0120 | Periodic oral evaluation - established patient | 66 | 65 | $1K |
| D0274 | Bitewings - four radiographic images | 41 | 41 | $702.00 |
| D1120 | Prophylaxis - child | 26 | 25 | $690.00 |
| D1208 | Topical application of fluoride, excluding varnish | 75 | 73 | $488.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $440.00 |