NPI: 1699802215 · UNION CITY, CA 94587 · Dentist · NPI assigned 02/28/2007
| Authorized Official | PEGUEROS, ED (ASST DEAN, BUDGET & FIN ADMIN) |
| Parent Organization | UNIVERSITY OF THE PACIFIC |
| NPI Enumeration Date | 02/28/2007 |
Other providers sharing the same authorized official: PEGUEROS, ED
| Provider | City | State | Total Paid |
|---|---|---|---|
| UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY | SAN FRANCISCO | CA | $3.99M |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $1.99M |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $1.78M |
| UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY | SAN FRANCISCO | CA | $1.03M |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $709K |
| UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY | SAN FRANCISCO | CA | $245K |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $83K |
| UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY | SAN FRANCISCO | CA | $64K |
| UNIVERSITY OF THE PACIFIC | SAN FRANCISCO | CA | $21K |
| UNIVERSITY OF THE PACIFIC | UNION CITY | CA | $16K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 95 | $3K |
| 2019 | 181 | $7K |
| 2020 | 634 | $26K |
| 2021 | 791 | $28K |
| 2022 | 1,922 | $63K |
| 2023 | 2,094 | $87K |
| 2024 | 1,454 | $50K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 735 | 733 | $63K |
| D0150 | Comprehensive oral evaluation - new or established patient | 964 | 960 | $62K |
| D9430 | 1,114 | 1,013 | $34K | |
| D0120 | Periodic oral evaluation - established patient | 444 | 443 | $28K |
| D0210 | Intraoral - complete series of radiographic images | 558 | 555 | $26K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 179 | 139 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 208 | 145 | $11K |
| D0330 | Panoramic radiographic image | 228 | 228 | $7K |
| D0274 | Bitewings - four radiographic images | 311 | 311 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,424 | 748 | $5K |
| D1206 | Topical application of fluoride varnish | 274 | 274 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 55 | 24 | $3K |
| D0270 | 308 | 306 | $2K | |
| D9995 | 339 | 339 | $710.95 | |
| D0220 | Intraoral - periapical first radiographic image | 30 | 29 | $360.00 |