EP POBLETE DENTAL CORPORATION
NPI: 1588945307
· BURBANK, CA 91506
· Dentist
· NPI assigned 09/07/2011
Provider Details
| Authorized Official | POBLETE, EDITHA (DENTIST) |
| NPI Enumeration Date | 09/07/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
208 |
$4K |
| 2019 |
45 |
$267.30 |
| 2020 |
115 |
$1K |
| 2021 |
115 |
$4K |
| 2022 |
688 |
$15K |
| 2023 |
47 |
$2K |
| 2024 |
29 |
$928.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
372 |
308 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
95 |
95 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
537 |
101 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
41 |
14 |
$2K |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$2K |
| D0274 |
Bitewings - four radiographic images |
73 |
73 |
$2K |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$950.00 |
| D0350 |
|
42 |
16 |
$441.60 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$180.00 |