SAN BRUNO AVE DENTAL CLINIC CORP
NPI: 1639228950
· SAN FRANCISCO, CA 94134
· General Practice Dentistry
· NPI assigned 01/09/2007
Provider Details
| Authorized Official | TIN, JUSTIN (SENIOR DENTIST) |
| NPI Enumeration Date | 01/09/2007 |
Related Entities
Other providers sharing the same authorized official: TIN, JUSTIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
528 |
$3K |
| 2024 |
320 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
563 |
110 |
$2K |
| D4910 |
|
26 |
26 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
151 |
151 |
$1K |
| D0274 |
Bitewings - four radiographic images |
67 |
67 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$650.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$150.00 |