RICARDO FRANK JARA CASTRO DDS, INC.
NPI: 1649851643
· POMONA, CA 91766
· Dental Clinic/Center
· NPI assigned 04/20/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
128 |
$5K |
| 2022 |
269 |
$7K |
| 2023 |
796 |
$6K |
| 2024 |
750 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
1,462 |
292 |
$7K |
| D1110 |
Prophylaxis - adult |
58 |
58 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
74 |
74 |
$5K |
| D1206 |
Topical application of fluoride varnish |
151 |
151 |
$3K |
| D0274 |
Bitewings - four radiographic images |
113 |
113 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
28 |
28 |
$1K |
| D0350 |
|
41 |
12 |
$403.20 |