NPI: 1720126261 · LA PUENTE, CA 91744 · Dentist · NPI assigned 02/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,940 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2150 | Silver amalgam - two surfaces, primary or permanent | 289 | 107 | $19K |
| D2160 | 195 | 94 | $15K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 113 | 49 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 2,349 | 436 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 154 | 154 | $5K |
| D4341 | 79 | 22 | $4K | |
| D0272 | Bitewings - two radiographic images | 379 | 378 | $4K |
| D1120 | Prophylaxis - child | 121 | 121 | $4K |
| D1110 | Prophylaxis - adult | 94 | 93 | $3K |
| D2140 | 60 | 20 | $3K | |
| D0120 | Periodic oral evaluation - established patient | 86 | 86 | $2K |
| D2161 | 21 | 16 | $2K |