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DR. CLARK L. FONG, DDS, A PROFESSIONAL DENTAL CORPORATION
DR. CLARK L. FONG, DDS, A PROFESSIONAL DENTAL CORPORATION
NPI: 1578803268
· SAN MATEO, CA 94401
· Dentist
· NPI assigned 02/18/2013
Provider Details
| Authorized Official | FONG, CLARK (OWNER) |
| NPI Enumeration Date | 02/18/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
138 |
$2K |
| 2019 |
69 |
$2K |
| 2020 |
80 |
$2K |
| 2021 |
111 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
104 |
104 |
$4K |
| D1120 |
Prophylaxis - child |
129 |
129 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
127 |
127 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
38 |
13 |
$153.90 |