NPI: 1811614399 · SANTA FE SPRINGS, CA 90670 · General Practice Dentistry · NPI assigned 10/25/2022
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 10/25/2022 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 5,891 | $128K |
| 2024 | 8,974 | $194K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,435 | 1,429 | $67K |
| D0150 | Comprehensive oral evaluation - new or established patient | 686 | 686 | $40K |
| D0350 | 3,473 | 1,007 | $27K | |
| D1208 | Topical application of fluoride, excluding varnish | 1,323 | 1,313 | $27K |
| D1310 | 631 | 630 | $26K | |
| D0120 | Periodic oral evaluation - established patient | 316 | 316 | $23K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,315 | 1,008 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 305 | 129 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 420 | 397 | $15K |
| D1351 | Sealant - per tooth | 448 | 138 | $13K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 120 | 39 | $13K |
| D0603 | 415 | 414 | $6K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 111 | 61 | $5K |
| D0145 | Oral evaluation for a patient under three years of age | 82 | 81 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 59 | 27 | $4K |
| D0272 | Bitewings - two radiographic images | 332 | 331 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 46 | 16 | $3K |
| D0274 | Bitewings - four radiographic images | 144 | 144 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 31 | 13 | $2K |
| D7111 | 39 | 15 | $1K | |
| D0602 | 62 | 62 | $768.75 | |
| D0140 | Limited oral evaluation - problem focused | 18 | 18 | $630.00 |
| D0210 | Intraoral - complete series of radiographic images | 15 | 15 | $504.00 |
| D0220 | Intraoral - periapical first radiographic image | 25 | 25 | $234.00 |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $182.00 |