EHAB ATEIA DDS INC
NPI: 1669676185
· RANCHO CUCAMONGA, CA 91737
· Dentist
· NPI assigned 06/11/2007
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | ATEIA, EHAB (OWNER, PRESIDENT) |
| NPI Enumeration Date | 06/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,682 |
$20K |
| 2019 |
1,584 |
$23K |
| 2020 |
1,050 |
$15K |
| 2021 |
819 |
$12K |
| 2022 |
1,184 |
$27K |
| 2023 |
1,153 |
$25K |
| 2024 |
737 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
940 |
939 |
$52K |
| D1120 |
Prophylaxis - child |
1,253 |
1,251 |
$48K |
| D0230 |
Intraoral - periapical each additional radiographic image |
4,385 |
1,172 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,284 |
1,282 |
$16K |
| D0274 |
Bitewings - four radiographic images |
347 |
346 |
$7K |