ILAGAN DENTAL CORP.
NPI: 1588981229
· SAN FERNANDO, CA 91340
· Exclusive Provider Organization
· NPI assigned 04/20/2010
Provider Details
| Authorized Official | ILAGAN, MARIA (OWNER/DENTIST) |
| NPI Enumeration Date | 04/20/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
458 |
$6K |
| 2019 |
387 |
$7K |
| 2020 |
247 |
$3K |
| 2021 |
163 |
$2K |
| 2022 |
66 |
$2K |
| 2023 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
220 |
220 |
$10K |
| D1120 |
Prophylaxis - child |
203 |
203 |
$6K |
| D1206 |
Topical application of fluoride varnish |
373 |
373 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
54 |
50 |
$821.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
107 |
57 |
$367.50 |
| D1999 |
|
33 |
33 |
$0.00 |
| D1330 |
|
368 |
368 |
$0.00 |