CRESCENTA FAMILY DENTAL
NPI: 1801087176
· LA CRESCENTA, CA 91214
· Dentist
· NPI assigned 08/05/2007
Provider Details
| Authorized Official | HAKIMI, SEAN (OWNER) |
| NPI Enumeration Date | 08/05/2007 |
Related Entities
Other providers sharing the same authorized official: HAKIMI, SEAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
295 |
$8K |
| 2019 |
118 |
$4K |
| 2020 |
100 |
$4K |
| 2021 |
26 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
248 |
237 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
33 |
30 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$990.00 |
| D9430 |
|
27 |
26 |
$832.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
52 |
52 |
$546.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
139 |
65 |
$542.25 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$326.00 |