NPI: 1699072892 · LA HABRA, CA 90631 · Dentist · NPI assigned 02/24/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 747 | $8K |
| 2022 | 581 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 252 | 251 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 154 | 153 | $3K |
| D1110 | Prophylaxis - adult | 101 | 101 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 366 | 361 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 423 | 295 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20 | 12 | $1K |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $161.08 |