NPI: 1598831471 · FONTANA, CA 92335 · Dentist · NPI assigned 11/24/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,541 | $56K |
| 2019 | 5,086 | $87K |
| 2020 | 793 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 791 | 787 | $30K | |
| D1120 | 781 | 776 | $23K | |
| D0230 | 5,858 | 1,063 | $23K | |
| D1110 | 249 | 249 | $20K | |
| D0150 | 241 | 241 | $15K | |
| D1208 | 1,079 | 1,074 | $10K | |
| D0274 | 501 | 498 | $10K | |
| D2392 | 68 | 39 | $5K | |
| D2150 | 65 | 29 | $4K | |
| D1351 | 169 | 48 | $4K | |
| D0272 | 314 | 312 | $4K | |
| D0220 | 180 | 174 | $2K | |
| D9430 | 28 | 26 | $812.00 | |
| D0350 | 83 | 29 | $787.20 | |
| D0210 | 13 | 13 | $624.00 |