RITA M. ANTOLIN DDS A PROFESSIONAL CORPORATION
NPI: 1598156119
· CANOGA PARK, CA 91304
· Health Maintenance Organization
· NPI assigned 02/18/2015
Provider Details
| Authorized Official | ANTOLIN, RITA (DDS) |
| NPI Enumeration Date | 02/18/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
463 |
$9K |
| 2019 |
289 |
$7K |
| 2020 |
334 |
$8K |
| 2021 |
450 |
$11K |
| 2022 |
297 |
$13K |
| 2023 |
259 |
$10K |
| 2024 |
611 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
696 |
696 |
$37K |
| D1120 |
Prophylaxis - child |
477 |
475 |
$16K |
| D1110 |
Prophylaxis - adult |
160 |
159 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
738 |
735 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
65 |
65 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
515 |
170 |
$2K |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$1K |