DANIEL TEBOUL, DDS, INC.
NPI: 1689068108
· TORRANCE, CA 90505
· 122300000X
$581K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
398 |
$10K |
| 2019 |
932 |
$25K |
| 2020 |
2,076 |
$43K |
| 2021 |
4,249 |
$113K |
| 2022 |
4,251 |
$125K |
| 2023 |
3,574 |
$121K |
| 2024 |
3,391 |
$145K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
1,489 |
1,486 |
$96K |
| D1110 |
|
1,011 |
1,007 |
$88K |
| D0120 |
|
1,041 |
1,033 |
$73K |
| D0210 |
|
1,328 |
1,324 |
$62K |
| D9430 |
|
1,464 |
1,280 |
$47K |
| D1120 |
|
970 |
967 |
$42K |
| D4910 |
|
544 |
544 |
$41K |
| D2751 |
|
66 |
46 |
$31K |
| D1206 |
|
1,918 |
1,906 |
$31K |
| D0230 |
|
3,685 |
1,871 |
$15K |
| D0274 |
|
730 |
723 |
$13K |
| D1310 |
|
688 |
686 |
$9K |
| D0350 |
|
910 |
372 |
$7K |
| D9223 |
|
18 |
14 |
$5K |
| D9993 |
|
532 |
530 |
$4K |
| D1208 |
|
353 |
352 |
$4K |
| D4341 |
|
44 |
12 |
$3K |
| D2392 |
|
36 |
25 |
$2K |
| D9222 |
|
14 |
14 |
$2K |
| D2954 |
|
14 |
13 |
$1K |
| D0601 |
|
241 |
241 |
$1K |
| D0220 |
|
70 |
70 |
$804.00 |
| D0330 |
|
26 |
26 |
$750.00 |
| D0272 |
|
45 |
45 |
$528.00 |
| D1999 |
|
450 |
423 |
$460.00 |
| D0603 |
|
44 |
44 |
$255.00 |
| D1330 |
|
688 |
686 |
$0.00 |
| D0190 |
|
452 |
425 |
$0.00 |