SAN DIEGO FAMILY DENTISTRY , INC
NPI: 1669702619
· HONOLULU, HI 96814
· General Practice Dentistry
· NPI assigned 01/13/2010
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
825 |
$12K |
| 2019 |
375 |
$7K |
| 2020 |
231 |
$5K |
| 2021 |
578 |
$11K |
| 2022 |
427 |
$7K |
| 2023 |
760 |
$16K |
| 2024 |
429 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,283 |
1,281 |
$36K |
| D1208 |
Topical application of fluoride, excluding varnish |
898 |
897 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
750 |
730 |
$8K |
| D1120 |
Prophylaxis - child |
217 |
217 |
$6K |
| D1110 |
Prophylaxis - adult |
115 |
115 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
307 |
284 |
$2K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$1K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$231.84 |