CUSCATLAN DENTAL CENTER
NPI: 1558761296
· ONTARIO, CA 91762
· Dentist
· NPI assigned 08/31/2014
Provider Details
| Authorized Official | CRUZ, MAY (MANAGER) |
| NPI Enumeration Date | 08/31/2014 |
Related Entities
Other providers sharing the same authorized official: CRUZ, MAY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
337 |
$3K |
| 2019 |
244 |
$3K |
| 2020 |
513 |
$11K |
| 2021 |
876 |
$15K |
| 2022 |
794 |
$18K |
| 2023 |
1,016 |
$21K |
| 2024 |
887 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
579 |
579 |
$39K |
| D1120 |
Prophylaxis - child |
424 |
424 |
$17K |
| D0272 |
Bitewings - two radiographic images |
936 |
934 |
$11K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,177 |
1,096 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
103 |
103 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
448 |
448 |
$6K |