LINDA LE DDS A PROFESSIONAL DENTAL
NPI: 1790854131
· MODESTO, CA 95350
· General Practice Dentistry
· NPI assigned 11/08/2006
Provider Details
| Authorized Official | NGUYEN, PHACH (OFFICE MANAGER) |
| NPI Enumeration Date | 11/08/2006 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, PHACH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
166 |
$4K |
| 2019 |
113 |
$3K |
| 2020 |
71 |
$1K |
| 2021 |
161 |
$7K |
| 2022 |
43 |
$705.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
106 |
106 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
83 |
83 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
33 |
14 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
33 |
33 |
$2K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
180 |
78 |
$693.87 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$405.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
43 |
43 |
$374.00 |