THE CHILDREN'S DENTAL FOUNDATION
NPI: 1710161880
· AVALON, CA 90704
· Pediatric Dentist
· NPI assigned 12/24/2007
Provider Details
| Authorized Official | BLAKE, JOHN (DENTAL DIRECTOR) |
| Parent Organization | CHILDREN'S DENTAL HEALTH CLINIC |
| NPI Enumeration Date | 12/24/2007 |
Related Entities
Other providers sharing the same authorized official: BLAKE, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
234 |
$5K |
| 2019 |
199 |
$4K |
| 2022 |
42 |
$1K |
| 2023 |
78 |
$2K |
| 2024 |
68 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
197 |
197 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
81 |
81 |
$3K |
| D1206 |
Topical application of fluoride varnish |
200 |
200 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
103 |
102 |
$2K |
| D0274 |
Bitewings - four radiographic images |
40 |
40 |
$817.20 |