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DR RUSEN BARSTOW FRIENDLY SMILES DENTAL INC
DR RUSEN BARSTOW FRIENDLY SMILES DENTAL INC
NPI: 1689342057
· BARSTOW, CA 92311
· General Practice Dentistry
· NPI assigned 09/01/2021
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | RUSEN, RARES (PRESIDENT) |
| NPI Enumeration Date | 09/01/2021 |
Related Entities
Other providers sharing the same authorized official: RUSEN, RARES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
553 |
$8K |
| 2022 |
4,207 |
$47K |
| 2023 |
3,905 |
$44K |
| 2024 |
2,201 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
575 |
571 |
$38K |
| D0350 |
|
3,835 |
1,023 |
$31K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,221 |
1,092 |
$23K |
| D0274 |
Bitewings - four radiographic images |
536 |
531 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
243 |
240 |
$4K |
| D1120 |
Prophylaxis - child |
70 |
70 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
262 |
239 |
$3K |
| D9430 |
|
80 |
76 |
$3K |
| D9110 |
|
19 |
12 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$980.00 |