HOMAN HANASAB DENTAL CORPORATION
NPI: 1770022428
· WEST COVINA, CA 91790
· Dentist
· NPI assigned 02/14/2017
Provider Details
| Authorized Official | HANASAB, HOMAN (PRESIDENT) |
| NPI Enumeration Date | 02/14/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$875.00 |
| 2019 |
12 |
$792.00 |
| 2020 |
17 |
$1K |
| 2021 |
63 |
$2K |
| 2022 |
107 |
$1K |
| 2023 |
102 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
79 |
79 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
53 |
53 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
12 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$945.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
163 |
99 |
$660.15 |