NPI: 1619181070 · BALDWIN PARK, CA 91706 · Dentist · NPI assigned 05/09/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 731 | $18K |
| 2019 | 568 | $22K |
| 2020 | 156 | $5K |
| 2021 | 123 | $3K |
| 2022 | 142 | $4K |
| 2023 | 127 | $4K |
| 2024 | 192 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 766 | 740 | $17K |
| D0120 | Periodic oral evaluation - established patient | 304 | 303 | $12K |
| D1110 | Prophylaxis - adult | 151 | 150 | $12K |
| D0274 | Bitewings - four radiographic images | 498 | 497 | $10K |
| D1120 | Prophylaxis - child | 180 | 179 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 82 | 79 | $4K |
| D4341 | 37 | 12 | $3K | |
| D2140 | 21 | 14 | $982.80 |