NPI: 1720858103 · WOODLAND HILLS, CA 91364 · Dental Clinic/Center · NPI assigned 01/05/2024
| Authorized Official | POPESCU, DORINA (OWNER) |
| NPI Enumeration Date | 01/05/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 809 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 106 | 106 | $7K |
| D1120 | Prophylaxis - child | 100 | 100 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 101 | 101 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 405 | 81 | $2K |
| D0272 | Bitewings - two radiographic images | 72 | 72 | $852.00 |
| D1310 | 13 | 13 | $506.00 | |
| D0603 | 12 | 12 | $165.00 |