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ELIAS, ELLIOTT, LAMPASI, FEHN, HARRIS & NGUYEN, ADC, INC
ELIAS, ELLIOTT, LAMPASI, FEHN, HARRIS & NGUYEN, ADC, INC
NPI: 1790918423
· TEMECULA, CA 92591
· General Practice Dentistry
· NPI assigned 08/27/2009
$148K
Total Medicaid Paid
Provider Details
| Authorized Official | BAILEY, CATHY (MANAGER PATIENT ACCOUNTING) |
| NPI Enumeration Date | 08/27/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
533 |
$8K |
| 2019 |
558 |
$12K |
| 2020 |
722 |
$13K |
| 2021 |
684 |
$15K |
| 2022 |
881 |
$28K |
| 2023 |
1,083 |
$33K |
| 2024 |
1,189 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,023 |
1,013 |
$61K |
| D1120 |
Prophylaxis - child |
1,536 |
1,523 |
$60K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,093 |
1,078 |
$14K |
| D1206 |
Topical application of fluoride varnish |
389 |
389 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,458 |
706 |
$5K |
| D0272 |
Bitewings - two radiographic images |
91 |
91 |
$981.00 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$302.40 |
| D1999 |
|
20 |
20 |
$0.00 |
| D1330 |
|
14 |
13 |
$0.00 |