J.A.FAJARDO DDS INC.
NPI: 1689982050
· EL MONTE, CA 91731
· Dentist
· NPI assigned 09/20/2010
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
308 |
$4K |
| 2019 |
12 |
$127.00 |
| 2020 |
12 |
$110.00 |
| 2021 |
38 |
$265.20 |
| 2024 |
13 |
$184.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
43 |
43 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
118 |
118 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$993.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
159 |
74 |
$573.60 |
| D0272 |
Bitewings - two radiographic images |
31 |
31 |
$346.00 |