DIWAN DDS INC
NPI: 1659934206
· WOODLAND, CA 95695
· Dental Clinic/Center
· NPI assigned 04/19/2019
Provider Details
| Authorized Official | DIWAN, RITESH (DENTIST) |
| NPI Enumeration Date | 04/19/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
358 |
$14K |
| 2021 |
12 |
$150.00 |
| 2022 |
138 |
$3K |
| 2023 |
97 |
$3K |
| 2024 |
15 |
$193.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
80 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
72 |
72 |
$3K |
| D1206 |
Topical application of fluoride varnish |
184 |
184 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
33 |
32 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$2K |
| D9430 |
|
52 |
51 |
$2K |
| D1120 |
Prophylaxis - child |
33 |
33 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$336.00 |
| D0350 |
|
32 |
15 |
$316.80 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$237.60 |
| D0230 |
Intraoral - periapical each additional radiographic image |
64 |
31 |
$206.55 |