MICHELLE P H TO DDS A PROFESSIONAL CORPORATION
NPI: 1619506292
· NORTH HOLLYWOOD, CA 91605
· Pediatric Dentist
· NPI assigned 04/06/2020
$379K
Total Medicaid Paid
Provider Details
| Authorized Official | TO, MICHELLE (DENTIST) |
| NPI Enumeration Date | 04/06/2020 |
Related Entities
Other providers sharing the same authorized official: TO, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
608 |
$18K |
| 2022 |
1,617 |
$52K |
| 2023 |
4,431 |
$121K |
| 2024 |
6,998 |
$188K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,913 |
1,904 |
$97K |
| D1310 |
|
1,537 |
1,529 |
$70K |
| D0120 |
Periodic oral evaluation - established patient |
917 |
913 |
$59K |
| D1206 |
Topical application of fluoride varnish |
1,905 |
1,896 |
$48K |
| D0145 |
Oral evaluation for a patient under three years of age |
328 |
328 |
$23K |
| D0603 |
|
1,535 |
1,527 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
278 |
277 |
$19K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,024 |
872 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
985 |
954 |
$12K |
| D9993 |
|
99 |
99 |
$6K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
118 |
112 |
$5K |
| D9430 |
|
15 |
15 |
$480.00 |