KTAM DDS DENTAL CORP
NPI: 1609181858
· SANTA MARIA, CA 93454
· Pediatric Dentist
· NPI assigned 08/12/2010
Provider Details
| Authorized Official | TAM, KEITH (CEO) |
| NPI Enumeration Date | 08/12/2010 |
Related Entities
Other providers sharing the same authorized official: TAM, KEITH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,688 |
$26K |
| 2019 |
1,156 |
$21K |
| 2020 |
616 |
$11K |
| 2021 |
604 |
$11K |
| 2022 |
378 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
832 |
832 |
$37K |
| D1120 |
Prophylaxis - child |
820 |
820 |
$26K |
| D1208 |
Topical application of fluoride, excluding varnish |
758 |
758 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,541 |
817 |
$7K |
| D0274 |
Bitewings - four radiographic images |
256 |
256 |
$5K |
| D0272 |
Bitewings - two radiographic images |
86 |
86 |
$946.00 |
| D0603 |
|
46 |
46 |
$0.00 |
| D0602 |
|
103 |
103 |
$0.00 |