NPI: 1780396796 · NORTH HOLLYWOOD, CA 91606 · Pediatric Dentist · NPI assigned 12/21/2022
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| NPI Enumeration Date | 12/21/2022 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,998 | $48K |
| 2024 | 8,728 | $230K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,184 | 1,174 | $58K |
| D0150 | Comprehensive oral evaluation - new or established patient | 568 | 553 | $36K |
| D1310 | 578 | 577 | $26K | |
| D1208 | Topical application of fluoride, excluding varnish | 1,167 | 1,157 | $25K |
| D0120 | Periodic oral evaluation - established patient | 389 | 389 | $24K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 317 | 150 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,251 | 757 | $17K |
| D1351 | Sealant - per tooth | 369 | 115 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 317 | 285 | $12K |
| D0145 | Oral evaluation for a patient under three years of age | 191 | 190 | $12K |
| D0603 | 574 | 574 | $8K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 54 | 27 | $5K |
| D0272 | Bitewings - two radiographic images | 368 | 359 | $4K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 31 | 14 | $4K |
| D0274 | Bitewings - four radiographic images | 187 | 187 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 23 | 13 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | 28 | 14 | $2K |
| D7111 | 28 | 13 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 28 | 12 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 14 | 13 | $624.00 |
| D0140 | Limited oral evaluation - problem focused | 15 | 15 | $525.00 |
| D0330 | Panoramic radiographic image | 17 | 17 | $480.00 |
| D0350 | 28 | 15 | $105.60 |