OSO DENTAL OFFICE
NPI: 1750795969
· WINNETKA, CA 91306
· Dental Clinic/Center
· NPI assigned 06/16/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
331 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
33 |
32 |
$930.00 |
| D0120 |
Periodic oral evaluation - established patient |
32 |
31 |
$588.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
173 |
38 |
$576.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$252.00 |
| D1206 |
Topical application of fluoride varnish |
22 |
21 |
$206.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
18 |
$162.00 |
| D0272 |
Bitewings - two radiographic images |
17 |
17 |
$160.00 |
| D0350 |
|
21 |
13 |
$114.00 |