NPI: 1619654183 · RIALTO, CA 92376 · General Practice Dentistry · NPI assigned 06/28/2023
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| NPI Enumeration Date | 06/28/2023 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 9,391 | $260K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 1,020 | 1,015 | $66K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 570 | 296 | $38K |
| D0210 | Intraoral - complete series of radiographic images | 754 | 752 | $35K |
| D0350 | 2,835 | 739 | $21K | |
| D1120 | Prophylaxis - child | 409 | 407 | $19K |
| D1110 | Prophylaxis - adult | 227 | 227 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 266 | 156 | $14K |
| D1351 | Sealant - per tooth | 310 | 87 | $11K |
| D1208 | Topical application of fluoride, excluding varnish | 690 | 685 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 121 | 84 | $9K |
| D1320 | 357 | 353 | $6K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1,048 | 231 | $4K |
| D4341 | 52 | 14 | $4K | |
| D0140 | Limited oral evaluation - problem focused | 35 | 35 | $1K |
| D0274 | Bitewings - four radiographic images | 70 | 70 | $1K |
| D1310 | 14 | 14 | $598.00 | |
| D0330 | Panoramic radiographic image | 593 | 591 | $480.00 |
| D0272 | Bitewings - two radiographic images | 20 | 20 | $240.00 |