KHOA DAI LE DDS INC
NPI: 1770766545
· MIDWAY CITY, CA 92655
· Dentist
· NPI assigned 12/14/2007
Provider Details
| Authorized Official | LE, KHOA (DENTIST OWNER) |
| Parent Organization | KHOA DAI LE DDS INC |
| NPI Enumeration Date | 12/14/2007 |
Related Entities
Other providers sharing the same authorized official: LE, KHOA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
264 |
$2K |
| 2019 |
210 |
$3K |
| 2020 |
76 |
$419.40 |
| 2021 |
138 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
25 |
25 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
52 |
52 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
505 |
96 |
$2K |
| D0272 |
Bitewings - two radiographic images |
92 |
92 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$196.00 |