KETCHERSIDE DENTAL CORPORATION
NPI: 1629557517
· CORONA, CA 92879
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/10/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
36 |
$2K |
| 2023 |
170 |
$10K |
| 2024 |
703 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
312 |
312 |
$20K |
| D0210 |
Intraoral - complete series of radiographic images |
243 |
242 |
$12K |
| D1120 |
Prophylaxis - child |
110 |
110 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
126 |
126 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| D9430 |
|
13 |
13 |
$416.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
93 |
56 |
$376.65 |