SUSANTO DENTAL CORPORATION
NPI: 1609061720
· LA PUENTE, CA 91744
· 122300000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,115 |
$18K |
| 2019 |
747 |
$13K |
| 2020 |
398 |
$8K |
| 2021 |
306 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
419 |
419 |
$16K |
| D1120 |
|
486 |
486 |
$14K |
| D0272 |
|
515 |
510 |
$6K |
| D0230 |
|
603 |
573 |
$5K |
| D1208 |
|
454 |
454 |
$4K |
| D0274 |
|
40 |
40 |
$756.00 |
| D1206 |
|
49 |
49 |
$542.00 |