STEVEN Y HOU DDS INC
NPI: 1629251418
· ROSEMEAD, CA 91770
· Health Maintenance Organization
· NPI assigned 12/14/2007
$438.00
Total Medicaid Paid
Provider Details
| Authorized Official | MELENDREZ, MIKE (MANAGER) |
| NPI Enumeration Date | 12/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$438.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$231.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$126.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
22 |
12 |
$81.00 |