NPI: 1588736755 · SHERMAN OAKS, CA 91403 · Dentist · NPI assigned 11/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,879 | $49K |
| 2019 | 2,383 | $60K |
| 2020 | 1,346 | $54K |
| 2021 | 1,103 | $57K |
| 2022 | 1,346 | $70K |
| 2023 | 2,524 | $115K |
| 2024 | 3,192 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 3,961 | 3,947 | $252K |
| D0210 | Intraoral - complete series of radiographic images | 3,895 | 3,882 | $183K |
| D9430 | 639 | 553 | $16K | |
| D1110 | Prophylaxis - adult | 153 | 152 | $13K |
| D0250 | 430 | 430 | $9K | |
| D0350 | 975 | 255 | $8K | |
| D0260 | 1,497 | 473 | $8K | |
| D0120 | Periodic oral evaluation - established patient | 119 | 119 | $6K |
| D1120 | Prophylaxis - child | 153 | 152 | $5K |
| D1320 | 500 | 499 | $5K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,198 | 441 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 182 | 182 | $2K |
| D4910 | 14 | 14 | $1K | |
| D0274 | Bitewings - four radiographic images | 45 | 45 | $842.40 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $132.00 |