IBRITE DENTAL OFFICE OF CELINE T PHAM DDS INC
NPI: 1750902029
· SANTA ANA, CA 92703
· Dental Clinic/Center
· NPI assigned 04/28/2020
$244K
Total Medicaid Paid
Provider Details
| Authorized Official | PHAM, CELINE (CEO) |
| NPI Enumeration Date | 04/28/2020 |
Related Entities
Other providers sharing the same authorized official: PHAM, CELINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,773 |
$86K |
| 2022 |
2,070 |
$69K |
| 2023 |
1,669 |
$51K |
| 2024 |
1,086 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
602 |
596 |
$53K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
681 |
681 |
$45K |
| D4910 |
|
583 |
579 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
451 |
445 |
$36K |
| D0210 |
Intraoral - complete series of radiographic images |
369 |
368 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,250 |
1,242 |
$17K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,779 |
558 |
$11K |
| D1120 |
Prophylaxis - child |
111 |
111 |
$5K |
| D0274 |
Bitewings - four radiographic images |
219 |
214 |
$5K |
| D0350 |
|
359 |
129 |
$3K |
| D0330 |
Panoramic radiographic image |
116 |
116 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
13 |
$2K |
| D9430 |
|
26 |
26 |
$824.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$300.00 |