HONGBO XU D.D.S.
NPI: 1619313301
· SANTA MONICA, CA 90404
· General Practice Dentistry
· NPI assigned 05/21/2013
Provider Details
| Authorized Official | XU, HONGBO (OWNER) |
| NPI Enumeration Date | 05/21/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
518 |
$10K |
| 2019 |
441 |
$12K |
| 2020 |
386 |
$12K |
| 2021 |
267 |
$7K |
| 2022 |
25 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
367 |
367 |
$15K |
| D1120 |
Prophylaxis - child |
394 |
394 |
$12K |
| D1110 |
Prophylaxis - adult |
49 |
49 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
394 |
389 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
38 |
$2K |
| D0274 |
Bitewings - four radiographic images |
113 |
113 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
282 |
280 |
$2K |