NPI: 1780372797 · SANTA MONICA, CA 90403 · Dentist · NPI assigned 04/27/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 61 | $0.00 |
| 2024 | 568 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0603 | 35 | 35 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 51 | 41 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 69 | 69 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $0.00 |
| T1015 | Clinic visit/encounter, all-inclusive | 384 | 346 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 65 | 64 | $0.00 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $0.00 |