STEVEN R. SPIVAK, DMD, INC
NPI: 1750780110
· NORTH HOLLYWOOD, CA 91605
· General Practice Dentistry
· NPI assigned 08/21/2014
Provider Details
| Authorized Official | SPIVAK, STEVEN (CEO) |
| NPI Enumeration Date | 08/21/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
555 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
57 |
43 |
$4K |
| D1110 |
Prophylaxis - adult |
71 |
70 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
75 |
$3K |
| D0274 |
Bitewings - four radiographic images |
78 |
78 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
200 |
79 |
$649.65 |
| D1208 |
Topical application of fluoride, excluding varnish |
74 |
74 |
$536.00 |