NPI: 1811691710 · SANTA ANA, CA 92703 · Dentist · NPI assigned 03/27/2023
Authorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
| Authorized Official | REYES, MIGUEL (Q/A CONTRACT & COMPLIANCE MANAGER) |
| NPI Enumeration Date | 03/27/2023 |
Other providers sharing the same authorized official: REYES, MIGUEL
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 4,739 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 554 | 552 | $33K |
| D0210 | Intraoral - complete series of radiographic images | 475 | 475 | $21K |
| D4341 | 255 | 82 | $18K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 252 | 121 | $15K |
| D0350 | 1,819 | 491 | $15K | |
| D1110 | Prophylaxis - adult | 185 | 184 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 93 | 40 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 269 | 267 | $3K |
| D1320 | 218 | 218 | $3K | |
| D1120 | Prophylaxis - child | 59 | 59 | $3K |
| D0330 | Panoramic radiographic image | 442 | 441 | $555.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 118 | 24 | $514.35 |