M MALLEMPALLI PROFESSIONAL DENTAL CORPORATION
NPI: 1679070791
· IMPERIAL BEACH, CA 91932
· Dental Clinic/Center
· NPI assigned 04/06/2018
Provider Details
Related Entities
Other providers sharing the same authorized official: MALLEMPALLI, MANIMANJARI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$2K |
| 2019 |
412 |
$16K |
| 2020 |
376 |
$14K |
| 2021 |
461 |
$17K |
| 2022 |
79 |
$3K |
| 2023 |
121 |
$6K |
| 2024 |
284 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
514 |
513 |
$32K |
| D0210 |
Intraoral - complete series of radiographic images |
282 |
282 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
110 |
57 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
245 |
244 |
$3K |
| D1120 |
Prophylaxis - child |
88 |
88 |
$3K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
36 |
36 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
283 |
109 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
72 |
65 |
$840.00 |
| D0350 |
|
67 |
23 |
$585.60 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$550.80 |
| D9430 |
|
15 |
13 |
$448.00 |
| D1320 |
|
12 |
12 |
$120.00 |