BRIDENT DDS PC
NPI: 1609546506
· ORANGE, CA 92868
· Dentist
· NPI assigned 09/14/2021
$0.02
Total Medicaid Paid
Provider Details
| Authorized Official | LESSO, ROSA (NATIONAL DIRECTOR OF RCM) |
| NPI Enumeration Date | 09/14/2021 |
Related Entities
Other providers sharing the same authorized official: LESSO, ROSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$0.02 |
| 2023 |
433 |
$0.00 |
| 2024 |
658 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0603 |
|
363 |
320 |
$0.02 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
142 |
135 |
$0.00 |
| D0602 |
|
49 |
49 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
257 |
162 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
91 |
80 |
$0.00 |
| D0601 |
|
27 |
26 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
130 |
116 |
$0.00 |
| D1120 |
Prophylaxis - child |
32 |
26 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |