NPI: 1730214131 · SANTA ROSA, CA 95407 · Dental Clinic/Center · NPI assigned 02/23/2007
Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
| Authorized Official | ANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Parent Organization | ST JOSEPH HEALTH SYSTEM |
| NPI Enumeration Date | 02/23/2007 |
Other providers sharing the same authorized official: ANDERSON, DONALD
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,812 | $612K |
| 2019 | 24,975 | $786K |
| 2020 | 9,074 | $309K |
| 2021 | 16,553 | $527K |
| 2022 | 21,096 | $818K |
| 2023 | 30,783 | $1.19M |
| 2024 | 35,769 | $1.39M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 20,236 | 20,169 | $1.18M |
| D1120 | Prophylaxis - child | 25,538 | 25,400 | $1.08M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12,358 | 8,890 | $819K |
| D1206 | Topical application of fluoride varnish | 28,460 | 28,265 | $419K |
| D1310 | 8,079 | 8,060 | $368K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5,115 | 5,106 | $334K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6,674 | 6,508 | $258K |
| D0274 | Bitewings - four radiographic images | 10,196 | 10,150 | $203K |
| D9993 | 3,152 | 3,147 | $185K | |
| D1351 | Sealant - per tooth | 6,149 | 2,493 | $176K |
| D0272 | Bitewings - two radiographic images | 11,855 | 11,797 | $137K |
| D0145 | Oral evaluation for a patient under three years of age | 1,509 | 1,502 | $95K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,495 | 1,200 | $79K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 962 | 883 | $75K |
| D0603 | 5,039 | 5,030 | $75K | |
| D1320 | 6,207 | 6,181 | $45K | |
| D0330 | Panoramic radiographic image | 1,053 | 1,051 | $31K |
| D0601 | 1,852 | 1,845 | $27K | |
| D7140 | Extraction, erupted tooth or exposed root | 313 | 237 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,366 | 2,321 | $13K |
| D9430 | 328 | 317 | $10K | |
| D0220 | Intraoral - periapical first radiographic image | 555 | 552 | $7K |
| D0270 | 469 | 464 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | 85 | 85 | $858.00 |
| D3120 | 17 | 13 | $0.00 |