ANA M GAMA DDS INC
NPI: 1609088541
· LOS ANGELES, CA 90022
· Dental Clinic/Center
· NPI assigned 05/04/2007
Provider Details
| Authorized Official | GAMA, ANA (PRESIDENT) |
| NPI Enumeration Date | 05/04/2007 |
Related Entities
Other providers sharing the same authorized official: GAMA, ANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
584 |
$19K |
| 2019 |
42 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
161 |
157 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
83 |
83 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
50 |
18 |
$3K |
| D2140 |
|
52 |
16 |
$3K |
| D1351 |
Sealant - per tooth |
45 |
14 |
$990.00 |
| D1120 |
Prophylaxis - child |
35 |
35 |
$960.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
185 |
28 |
$692.10 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$150.00 |