CONSUMERHEALTH, INC.
NPI: 1700093721
· LOS ANGELES, CA 90063
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 05/17/2007
$452.75
Total Medicaid Paid
Provider Details
| Authorized Official | SCHMIDT, LORILEE (PRESIDENT) |
| Parent Organization | CONSUMERHEALTH, INC. |
| NPI Enumeration Date | 05/17/2007 |
Related Entities
Other providers sharing the same authorized official: SCHMIDT, LORILEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$103.00 |
| 2019 |
12 |
$0.00 |
| 2020 |
39 |
$15.75 |
| 2023 |
12 |
$334.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$437.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
75 |
25 |
$15.75 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |