ESQUIVEL DENTAL CORPORATION
NPI: 1720359466
· UPLAND, CA 91786
· General Practice Dentistry
· NPI assigned 01/25/2012
Provider Details
| Authorized Official | ESQUIVEL, SALLY (DENTIST/OWNER) |
| NPI Enumeration Date | 01/25/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
313 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
91 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
55 |
55 |
$3K |
| D1351 |
Sealant - per tooth |
57 |
13 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
66 |
66 |
$717.00 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$540.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$270.00 |