RAFAEL P. SUSTENTO
NPI: 1568631745
· NEWHALL, CA 91321
· Dentist
· NPI assigned 02/21/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
236 |
$2K |
| 2020 |
41 |
$384.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
39 |
38 |
$981.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
226 |
101 |
$752.25 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$259.20 |