NONATO H. ELAZEGUI.DMD.INC
NPI: 1649325820
· EL MONTE, CA 91732
· Dental Clinic/Center
· NPI assigned 01/25/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: ELAZEGUI, NONATO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
127 |
$496.20 |
| 2019 |
98 |
$509.40 |
| 2020 |
162 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
305 |
62 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$810.00 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$480.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
34 |
$336.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$302.40 |