NPI: 1679916233 · RANCHO CUCAMONGA, CA 91730 · Dental Clinic/Center · NPI assigned 04/14/2013
| Authorized Official | MOBILIA, ADRIAN (OWNER) |
| NPI Enumeration Date | 04/14/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,160 | $16K |
| 2019 | 329 | $4K |
| 2020 | 187 | $3K |
| 2021 | 1,460 | $30K |
| 2022 | 1,236 | $30K |
| 2023 | 1,449 | $34K |
| 2024 | 1,233 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 855 | 851 | $53K | |
| D1120 | 628 | 625 | $24K | |
| D1208 | 1,417 | 1,412 | $18K | |
| D0230 | 2,850 | 1,439 | $11K | |
| D0150 | 159 | 159 | $10K | |
| D2392 | 107 | 59 | $7K | |
| D0274 | 323 | 320 | $6K | |
| D2391 | 98 | 51 | $5K | |
| D0350 | 452 | 210 | $3K | |
| D4910 | 39 | 39 | $3K | |
| D0210 | 42 | 42 | $2K | |
| D9430 | 18 | 17 | $576.00 | |
| D0272 | 38 | 38 | $402.00 | |
| D0220 | 16 | 16 | $150.00 | |
| D0270 | 12 | 12 | $60.00 |