SOMERSVILLE DENTAL
NPI: 1801237912
· ANTIOCH, CA 94509
· General Practice Dentistry
· NPI assigned 07/17/2013
Provider Details
| Authorized Official | LEONG, DAVID (OWNER) |
| NPI Enumeration Date | 07/17/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
102 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$1K |
| D1206 |
Topical application of fluoride varnish |
58 |
58 |
$580.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$360.00 |