NPI: 1821137969 · MONROVIA, CA 91016 · Dentist · NPI assigned 02/05/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 524 | $9K |
| 2019 | 509 | $12K |
| 2020 | 143 | $2K |
| 2021 | 237 | $5K |
| 2022 | 356 | $12K |
| 2023 | 196 | $6K |
| 2024 | 90 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 1,098 | 906 | $13K |
| D1110 | Prophylaxis - adult | 141 | 136 | $12K |
| D0120 | Periodic oral evaluation - established patient | 256 | 248 | $11K |
| D0274 | Bitewings - four radiographic images | 449 | 443 | $9K |
| D1120 | Prophylaxis - child | 63 | 63 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 18 | 13 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $792.00 |
| D1206 | Topical application of fluoride varnish | 18 | 18 | $174.00 |