NPI: 1689351884 · FONTANA, CA 92336 · General Practice Dentistry · NPI assigned 06/29/2023
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| NPI Enumeration Date | 06/29/2023 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 5,253 | $129K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 758 | 756 | $49K |
| D0210 | Intraoral - complete series of radiographic images | 521 | 518 | $24K |
| D1120 | Prophylaxis - child | 341 | 339 | $16K |
| D0350 | 1,371 | 365 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 160 | 89 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 450 | 445 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 996 | 202 | $4K |
| D1110 | Prophylaxis - adult | 43 | 43 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20 | 13 | $1K |
| D1320 | 63 | 63 | $1K | |
| D0274 | Bitewings - four radiographic images | 86 | 86 | $1K |
| D0140 | Limited oral evaluation - problem focused | 27 | 27 | $927.50 |
| D0330 | Panoramic radiographic image | 417 | 414 | $592.50 |