BRIDENT DENTAL ASSOCIATES PC
NPI: 1790258572
· ORANGE, CA 92868
· Dentist
· NPI assigned 01/04/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LESSO, ROSA (NATIONAL DIRECTOR OF RCM) |
| NPI Enumeration Date | 01/04/2019 |
Related Entities
Other providers sharing the same authorized official: LESSO, ROSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,999 |
$0.00 |
| 2024 |
3,217 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0603 |
|
816 |
637 |
$0.00 |
| D0602 |
|
139 |
112 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
467 |
358 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,092 |
805 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
274 |
210 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
162 |
124 |
$0.00 |
| D1351 |
Sealant - per tooth |
809 |
96 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
1,081 |
827 |
$0.00 |
| D1120 |
Prophylaxis - child |
142 |
102 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
24 |
13 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
165 |
136 |
$0.00 |
| D1110 |
Prophylaxis - adult |
45 |
31 |
$0.00 |