NPI: 1629136080 · SAN LORENZO, CA 94580 · Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,028 | $127K |
| 2019 | 4,739 | $139K |
| 2020 | 3,050 | $87K |
| 2021 | 2,789 | $78K |
| 2022 | 3,296 | $113K |
| 2023 | 2,320 | $87K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,808 | 1,803 | $149K | |
| D0120 | 2,381 | 2,373 | $122K | |
| D0150 | 1,517 | 1,514 | $91K | |
| D1120 | 1,977 | 1,975 | $69K | |
| D0274 | 3,048 | 3,043 | $64K | |
| D9430 | 1,474 | 1,419 | $46K | |
| D1208 | 3,299 | 3,295 | $39K | |
| D0220 | 1,856 | 1,778 | $21K | |
| D0230 | 3,371 | 2,081 | $13K | |
| D2160 | 77 | 70 | $6K | |
| D7140 | 88 | 58 | $5K | |
| D0272 | 251 | 250 | $3K | |
| D2150 | 15 | 12 | $1K | |
| D7510 | 15 | 14 | $980.00 | |
| D1206 | 29 | 29 | $512.00 | |
| D0330 | 16 | 16 | $480.00 |