SAN FERNANDO DENTAL CARE
NPI: 1619126174
· SAN FERNANDO, CA 91340
· Dentist
· NPI assigned 09/09/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13 |
$858.00 |
| 2023 |
202 |
$13K |
| 2024 |
706 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
294 |
293 |
$19K |
| D1110 |
Prophylaxis - adult |
189 |
189 |
$16K |
| D0210 |
Intraoral - complete series of radiographic images |
208 |
207 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
117 |
49 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
98 |
56 |
$407.70 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$324.00 |